Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $67.61 / $97.72	Facility	26	$53.70	$67.61	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $630.96	Professional		$257.04	$323.59	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $158.49	Professional	26	$53.70	$75.86	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $257.04 / $380.19	Professional	TC	$204.17	$257.04	$380.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $58.88 / $112.20	Professional	26	$47.86	$58.88	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $794.33	Professional		$302.00	$407.38	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $87.10 / $323.59	Professional	26	$64.57	$87.10	$323.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $323.59 / $478.63	Professional	TC	$239.88	$323.59	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $758.58	Professional		$316.23	$426.58	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $91.20 / $158.49	Professional	26	$67.61	$91.20	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $338.84 / $588.84	Professional	TC	$245.47	$338.84	$588.84
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 $295.12 / $371.54 / $660.69	Professional		$295.12	$371.54	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $87.10 / $165.96	Professional	26	$61.66	$87.10	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $302.00 / $512.86	Professional	TC	$234.42	$302.00	$512.86