Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.66 / $87.71 / $166.12	Facility	26	$82.66	$87.71	$166.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.67 / $295.89 / $439.47	Professional		$218.67	$295.89	$439.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.89 / $97.12 / $166.12	Professional	26	$80.89	$97.12	$166.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.01 / $172.59 / $273.35	Professional	TC	$136.01	$172.59	$273.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $257.45 / $266.64	Professional		$257.45	$257.45	$266.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $101.05 / $101.05 / $113.19	Professional	26	$101.05	$101.05	$113.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $320.00	Professional		$320.00	$320.00	$320.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.39 / $341.41 / $489.50	Professional		$216.39	$341.41	$489.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.01 / $127.06 / $205.40	Professional	26	$84.01	$127.06	$205.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.87 / $194.54 / $317.13	Professional	TC	$135.87	$194.54	$317.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $113.90	Professional		$32.34	$32.34	$113.90
United Facility/Professional Professional Modifier Low / Median / High Price $212.83 / $273.08 / $634.03	Professional		$212.83	$273.08	$634.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.81 / $102.09 / $247.65	Professional	26	$74.81	$102.09	$247.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.69 / $162.57 / $386.38	Professional	TC	$129.69	$162.57	$386.38