Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.40 / $111.46 / $123.40	Facility	26	$61.40	$111.46	$123.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.44 / $253.50 / $416.89	Professional		$207.44	$253.50	$416.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $70.00 / $123.40	Professional	26	$57.00	$70.00	$123.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.04 / $181.32 / $293.50	Professional	TC	$146.04	$181.32	$293.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $459.48 / $459.48 / $459.48	Professional		$459.48	$459.48	$459.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.72 / $62.41 / $139.30	Professional	26	$55.72	$62.41	$139.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $329.00 / $329.00	Professional		$329.00	$329.00	$329.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.33 / $299.89 / $421.18	Professional		$213.33	$299.89	$421.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.73 / $92.89 / $153.30	Professional	26	$62.73	$92.89	$153.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $152.02 / $206.21 / $300.81	Professional	TC	$152.02	$206.21	$300.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $119.94	Professional		$32.34	$32.34	$119.94
United Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $243.86 / $599.27	Professional		$201.85	$243.86	$599.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.86 / $76.53 / $181.80	Professional	26	$55.86	$76.53	$181.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.38 / $172.15 / $431.57	Professional	TC	$138.38	$172.15	$431.57