Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.82 / $46.99 / $103.19	Facility	26	$42.82	$46.99	$103.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.13 / $293.82 / $595.36	Professional		$271.13	$293.82	$595.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $46.99 / $103.19	Professional	26	$43.47	$46.99	$103.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $224.13 / $250.34 / $492.16	Professional	TC	$224.13	$250.34	$492.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $113.83 / $113.83 / $113.83	Professional	26	$113.83	$113.83	$113.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $540.00 / $540.00	Professional		$540.00	$540.00	$540.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.45 / $501.34 / $717.76	Professional		$305.45	$501.34	$717.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.96 / $81.65 / $119.26	Professional	26	$50.96	$81.65	$119.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $254.50 / $420.11 / $601.10	Professional	TC	$254.50	$420.11	$601.10
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 $252.35 / $344.29 / $746.76	Professional		$252.35	$344.29	$746.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.02 / $58.49 / $125.88	Professional	26	$43.02	$58.49	$125.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.38 / $290.52 / $618.38	Professional	TC	$204.38	$290.52	$618.38