Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $60.26 / $204.17	Facility	26	$48.98	$60.26	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $831.76	Professional		$97.72	$154.88	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $70.79 / $223.87	Professional	26	$54.95	$70.79	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $67.61 / $151.36	Professional	TC	$46.77	$67.61	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $128.82	Professional		$91.20	$117.49	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $58.88 / $85.11	Professional	26	$45.71	$58.88	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $281.84	Professional		$104.71	$204.17	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $89.13 / $120.23	Professional	26	$51.29	$89.13	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $107.15 / $162.18	Professional	TC	$52.48	$107.15	$162.18
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 $112.20 / $144.54 / $331.13	Professional		$112.20	$144.54	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $125.89	Professional	26	$51.29	$67.61	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $83.18 / $208.93	Professional	TC	$57.54	$83.18	$208.93