Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $44.67 / $67.61	Facility	26	$43.65	$44.67	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $295.12	Professional		$128.82	$154.88	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $51.29 / $102.33	Professional	26	$40.74	$51.29	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $107.15 / $186.21	Professional	TC	$85.11	$107.15	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $269.15	Professional		$234.42	$234.42	$269.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $45.71 / $75.86	Professional	26	$31.62	$45.71	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $363.08	Professional		$134.90	$251.19	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $79.43 / $117.49	Professional	26	$43.65	$79.43	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $154.88 / $229.09	Professional	TC	$91.20	$154.88	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $323.59	Professional		$141.25	$208.93	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $61.66 / $95.50	Professional	26	$46.77	$61.66	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $144.54 / $218.78	Professional	TC	$93.33	$144.54	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $302.00	Professional		$120.23	$158.49	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $48.98 / $85.11	Professional	26	$39.81	$48.98	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $112.20 / $213.80	Professional	TC	$81.28	$112.20	$213.80