Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.09 / $93.25 / $157.63	Facility	26	$65.09	$93.25	$157.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.00 / $433.43 / $827.09	Professional		$376.00	$433.43	$827.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $78.65 / $165.00	Professional	26	$67.62	$78.65	$165.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $315.25 / $365.81 / $692.26	Professional	TC	$315.25	$365.81	$692.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.47 / $398.47 / $398.47	Professional		$398.47	$398.47	$398.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.59 / $77.37 / $172.70	Professional	26	$74.59	$77.37	$172.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $321.11 / $321.11 / $321.11	Professional	TC	$321.11	$321.11	$321.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.00 / $803.00 / $803.00	Professional		$803.00	$803.00	$803.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.84 / $684.17 / $1,011.88	Professional		$431.84	$684.17	$1,011.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.73 / $128.54 / $178.79	Professional	26	$76.73	$128.54	$178.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $355.10 / $548.79 / $827.33	Professional	TC	$355.10	$548.79	$827.33
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 $376.58 / $505.94 / $1,066.68	Professional		$376.58	$505.94	$1,066.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.51 / $93.65 / $213.85	Professional	26	$62.51	$93.65	$213.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.07 / $413.67 / $861.83	Professional	TC	$314.07	$413.67	$861.83