Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.00 / $52.71 / $115.75	Facility	26	$48.00	$52.71	$115.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.25 / $330.02 / $627.78	Professional		$283.25	$330.02	$627.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.01 / $52.71 / $115.75	Professional	26	$48.01	$52.71	$115.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $233.18 / $280.99 / $512.03	Professional	TC	$233.18	$280.99	$512.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $127.70 / $127.70 / $127.70	Professional	26	$127.70	$127.70	$127.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $706.08 / $706.08 / $706.08	Professional		$706.08	$706.08	$706.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.83 / $563.33 / $762.39	Professional		$325.83	$563.33	$762.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.90 / $92.08 / $132.69	Professional	26	$56.90	$92.08	$132.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $268.92 / $471.67 / $625.79	Professional	TC	$268.92	$471.67	$625.79
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 $276.98 / $381.19 / $794.16	Professional		$276.98	$381.19	$794.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.06 / $59.91 / $140.55	Professional	26	$46.06	$59.91	$140.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $227.36 / $312.89 / $651.88	Professional	TC	$227.36	$312.89	$651.88