Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.84 / $101.00 / $138.35	Facility	26	$68.84	$101.00	$138.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.47 / $235.98 / $354.65	Professional		$176.47	$235.98	$354.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.84 / $80.40 / $138.35	Professional	26	$68.84	$80.40	$138.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.62 / $149.09 / $216.29	Professional	TC	$107.62	$149.09	$216.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.44 / $96.95 / $156.38	Professional	26	$81.44	$96.95	$156.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $317.00 / $317.00	Professional		$317.00	$317.00	$317.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.98 / $258.49 / $411.23	Professional		$179.98	$258.49	$411.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.12 / $104.24 / $171.44	Professional	26	$70.12	$104.24	$171.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.84 / $154.41 / $276.01	Professional	TC	$107.84	$154.41	$276.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $88.83	Professional		$32.34	$32.34	$88.83
United Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $225.36 / $513.38	Professional		$162.01	$225.36	$513.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.24 / $84.17 / $206.72	Professional	26	$62.24	$84.17	$206.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.05 / $141.19 / $301.51	Professional	TC	$100.05	$141.19	$301.51