Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $165.96 / $416.87	Facility	26	$128.82	$165.96	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $616.60	Professional		$223.87	$281.84	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $162.18 / $512.86	Professional	26	$125.89	$162.18	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $131.83 / $223.87	Professional	TC	$104.71	$131.83	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $158.49 / $288.40	Professional	26	$117.49	$158.49	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $524.81	Professional		$275.42	$295.12	$524.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $162.18 / $257.04	Professional	26	$147.91	$162.18	$257.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $134.90 / $302.00	Professional	TC	$123.03	$134.90	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $562.34	Professional		$295.12	$380.19	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $158.49 / $208.93 / $302.00	Professional	26	$158.49	$208.93	$302.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $169.82 / $257.04	Professional	TC	$134.90	$169.82	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $512.86	Professional		$257.04	$331.13	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $181.97 / $275.42	Professional	26	$138.04	$181.97	$275.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $151.36 / $234.42	Professional	TC	$117.49	$151.36	$234.42