Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.88 / $60.25 / $100.91	Facility	26	$49.88	$60.25	$100.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $178.17 / $776.47	Professional		$97.49	$178.17	$776.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $75.92 / $210.32	Professional	26	$53.67	$75.92	$210.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.61 / $92.48 / $104.48	Professional	TC	$47.61	$92.48	$104.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $88.08 / $88.08	Professional		$88.08	$88.08	$88.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.44 / $62.22 / $138.88	Professional	26	$44.44	$62.22	$138.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $279.00 / $279.00	Professional		$279.00	$279.00	$279.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $207.81 / $278.63	Professional		$104.15	$207.81	$278.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.37 / $93.06 / $119.38	Professional	26	$51.37	$93.06	$119.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.78 / $108.04 / $160.82	Professional	TC	$52.78	$108.04	$160.82
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 $111.06 / $144.21 / $331.67	Professional		$111.06	$144.21	$331.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.56 / $68.50 / $140.40	Professional	26	$51.56	$68.50	$140.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.64 / $80.98 / $183.36	Professional	TC	$57.64	$80.98	$183.36