Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.89 / $47.10 / $103.43	Facility	26	$42.89	$47.10	$103.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.63 / $318.73 / $685.58	Professional		$310.63	$318.73	$685.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.89 / $47.10 / $103.43	Professional	26	$42.89	$47.10	$103.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $265.11 / $272.87 / $582.16	Professional	TC	$265.11	$272.87	$582.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.75 / $114.75 / $114.75	Professional	26	$114.75	$114.75	$114.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.00 / $479.00 / $479.00	Professional		$479.00	$479.00	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.07 / $506.31 / $835.16	Professional		$311.07	$506.31	$835.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.61 / $85.46 / $119.35	Professional	26	$50.61	$85.46	$119.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $260.45 / $420.86 / $712.54	Professional	TC	$260.45	$420.86	$712.54
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 $264.31 / $417.58 / $714.79	Professional		$264.31	$417.58	$714.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.99 / $57.53 / $120.65	Professional	26	$42.99	$57.53	$120.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $222.65 / $347.55 / $618.90	Professional	TC	$222.65	$347.55	$618.90