Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.31 / $53.05 / $116.49	Facility	26	$48.31	$53.05	$116.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.29 / $162.22 / $334.33	Professional		$143.29	$162.22	$334.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $60.07 / $116.49	Professional	26	$51.54	$60.07	$116.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.98 / $110.68 / $217.84	Professional	TC	$94.98	$110.68	$217.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $128.53 / $128.53 / $128.53	Professional	26	$128.53	$128.53	$128.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $342.00 / $342.00	Professional		$342.00	$342.00	$342.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.46 / $312.30 / $387.35	Professional		$163.46	$312.30	$387.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.26 / $94.77 / $133.50	Professional	26	$57.26	$94.77	$133.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.20 / $209.28 / $249.89	Professional	TC	$106.20	$209.28	$249.89
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 $133.22 / $193.68 / $403.51	Professional		$133.22	$193.68	$403.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.89 / $68.72 / $133.80	Professional	26	$46.89	$68.72	$133.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.34 / $124.96 / $262.32	Professional	TC	$86.34	$124.96	$262.32