Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $70.79 / $165.96	Facility	26	$64.57	$70.79	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $831.76	Professional		$371.54	$416.87	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $165.96	Professional	26	$64.57	$79.43	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $380.19 / $691.83	Professional	TC	$309.03	$380.19	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $426.58	Professional		$288.40	$371.54	$426.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $74.13 / $138.04	Professional	26	$57.54	$74.13	$138.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $281.84 / $323.59	Professional	TC	$281.84	$281.84	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $1,023.29	Professional		$436.52	$691.83	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $128.82 / $177.83	Professional	26	$75.86	$128.82	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $549.54 / $831.76	Professional	TC	$354.81	$549.54	$831.76
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 $380.19 / $512.86 / $1,348.96	Professional		$380.19	$512.86	$1,348.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $100.00 / $269.15	Professional	26	$63.10	$100.00	$269.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $426.58 / $1,047.13	Professional	TC	$316.23	$426.58	$1,047.13