Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $143.86 / $143.86 / $143.86	Facility	26	$143.86	$143.86	$143.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $338.83 / $572.66	Professional		$189.62	$338.83	$572.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.76 / $55.33 / $107.64	Professional	26	$47.76	$55.33	$107.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.25 / $286.39 / $443.92	Professional	TC	$133.25	$286.39	$443.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.77 / $31.32 / $72.08	Professional	26	$27.77	$31.32	$72.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $190.03 / $596.65	Professional		$68.18	$190.03	$596.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.77 / $196.13 / $626.44	Professional		$106.77	$196.13	$626.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.65 / $34.40 / $103.50	Professional	26	$29.65	$34.40	$103.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.37 / $162.93 / $534.48	Professional	TC	$74.37	$162.93	$534.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $417.22 / $591.05 / $1,255.94	Professional		$417.22	$591.05	$1,255.94
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.63 / $101.37 / $304.16	Professional	26	$67.63	$101.37	$304.16
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $317.22 / $461.41 / $1,042.81	Professional	TC	$317.22	$461.41	$1,042.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $83.61 / $566.54	Professional		$32.34	$83.61	$566.54
United Facility/Professional Professional Modifier Low / Median / High Price $213.62 / $348.90 / $607.13	Professional		$213.62	$348.90	$607.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.53 / $68.64 / $101.24	Professional	26	$41.53	$68.64	$101.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.81 / $275.43 / $487.36	Professional	TC	$148.81	$275.43	$487.36