Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.78 / $152.52 / $254.46	Facility	26	$125.78	$152.52	$254.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.94 / $296.83 / $453.03	Professional		$223.94	$296.83	$453.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.78 / $152.52 / $254.46	Professional	26	$125.78	$152.52	$254.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $98.15 / $145.68 / $198.56	Professional	TC	$98.15	$145.68	$198.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $157.76 / $352.13 / $352.13	Professional	26	$157.76	$352.13	$352.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.00 / $404.00 / $404.00	Professional		$404.00	$404.00	$404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.74 / $390.71 / $512.27	Professional		$238.74	$390.71	$512.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.37 / $217.07 / $284.60	Professional	26	$129.37	$217.07	$284.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.37 / $173.64 / $227.67	Professional	TC	$109.37	$173.64	$227.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $319.75 / $666.16	Professional		$236.74	$319.75	$666.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.06 / $173.65 / $371.08	Professional	26	$123.06	$173.65	$371.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.86 / $141.63 / $295.08	Professional	TC	$103.86	$141.63	$295.08