Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $245.47	Facility	26	$125.89	$125.89	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $724.44	Professional		$338.84	$436.52	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $151.36 / $257.04	Professional	26	$125.89	$151.36	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $288.40 / $478.63	Professional	TC	$223.87	$288.40	$478.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	26	$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $630.96	Professional		$316.23	$524.81	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $218.78 / $281.84	Professional	26	$128.82	$218.78	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $295.12 / $389.05	Professional	TC	$194.98	$295.12	$389.05
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 $281.84 / $416.87 / $676.08	Professional		$281.84	$416.87	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $169.82 / $309.03	Professional	26	$128.82	$169.82	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $251.19 / $371.54	Professional	TC	$151.36	$251.19	$371.54