Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $37.15 / $109.65	Facility	26	$34.67	$37.15	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $616.60	Professional		$234.42	$288.40	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $46.77 / $109.65	Professional	26	$33.88	$46.77	$109.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $239.88 / $446.68	Professional	TC	$204.17	$239.88	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $37.15 / $91.20	Professional	26	$29.51	$37.15	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $645.65	Professional		$275.42	$363.08	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $67.61 / $97.72	Professional	26	$40.74	$67.61	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $302.00 / $549.54	Professional	TC	$234.42	$302.00	$549.54
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 $181.97 / $295.12 / $398.11	Professional		$181.97	$295.12	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $46.77 / $91.20	Professional	26	$33.88	$46.77	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $251.19 / $371.54	Professional	TC	$144.54	$251.19	$371.54