Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $81.28	Facility	26	$42.66	$42.66	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $676.08	Professional		$302.00	$338.84	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $50.12 / $97.72	Professional	26	$40.74	$50.12	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $323.59 / $575.44	Professional	TC	$263.03	$323.59	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $45.71 / $114.82	Professional	26	$37.15	$45.71	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $831.76	Professional		$309.03	$501.19	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $85.11 / $120.23	Professional	26	$50.12	$85.11	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $416.87 / $707.95	Professional	TC	$263.03	$416.87	$707.95
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 $245.47 / $380.19 / $575.44	Professional		$245.47	$380.19	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $57.54 / $117.49	Professional	26	$41.69	$57.54	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $338.84 / $489.78	Professional	TC	$204.17	$338.84	$489.78