Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $37.15 / $52.48	Facility	26	$28.84	$37.15	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $630.96	Professional		$245.47	$309.03	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $48.98 / $218.78	Professional	26	$28.84	$48.98	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $275.42 / $489.78	Professional	TC	$213.80	$275.42	$489.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $31.62 / $51.29	Professional	26	$25.70	$31.62	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $512.86	Professional		$275.42	$371.54	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $40.74 / $56.23	Professional	26	$33.88	$40.74	$56.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $331.13 / $457.09	Professional	TC	$239.88	$331.13	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $707.95	Professional		$338.84	$426.58	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $87.10	Professional	26	$37.15	$48.98	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $371.54 / $630.96	Professional	TC	$302.00	$371.54	$630.96
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 $288.40 / $363.08 / $602.56	Professional		$288.40	$363.08	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $41.69 / $67.61	Professional	26	$33.11	$41.69	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $323.59 / $537.03	Professional	TC	$263.03	$323.59	$537.03