Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $47.86	Facility	26	$46.77	$46.77	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $588.84	Professional		$263.03	$331.13	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $131.83	Professional	26	$42.66	$56.23	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $275.42 / $501.19	Professional	TC	$218.78	$275.42	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $56.23 / $57.54	Professional	26	$51.29	$56.23	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $501.19	Professional		$263.03	$309.03	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $57.54 / $95.50	Professional	26	$54.95	$57.54	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $251.19 / $416.87	Professional	TC	$204.17	$251.19	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $794.33	Professional		$363.08	$446.68	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $79.43 / $138.04	Professional	26	$60.26	$79.43	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $363.08 / $660.69	Professional	TC	$309.03	$363.08	$660.69
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 $309.03 / $389.05 / $660.69	Professional		$309.03	$389.05	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $66.07 / $109.65	Professional	26	$53.70	$66.07	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $323.59 / $562.34	Professional	TC	$263.03	$323.59	$562.34