Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.92 / $102.26 / $171.78	Facility	26	$84.92	$102.26	$171.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.42 / $343.67 / $538.97	Professional		$266.42	$343.67	$538.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.92 / $102.65 / $171.78	Professional	26	$84.92	$102.65	$171.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.51 / $241.02 / $367.18	Professional	TC	$181.51	$241.02	$367.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $94.58 / $94.58 / $94.58	Professional	26	$94.58	$94.58	$94.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $484.00 / $484.00	Professional		$484.00	$484.00	$484.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.11 / $448.14 / $568.62	Professional		$285.11	$448.14	$568.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $146.88 / $192.58	Professional	26	$87.10	$146.88	$192.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.21 / $296.37 / $376.05	Professional	TC	$191.21	$296.37	$376.05
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 $274.57 / $329.90 / $667.13	Professional		$274.57	$329.90	$667.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.84 / $119.99 / $249.98	Professional	26	$86.84	$119.99	$249.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.45 / $237.11 / $500.50	Professional	TC	$176.45	$237.11	$500.50