Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $87.10 / $165.96	Facility	26	$81.28	$87.10	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $489.78	Professional		$218.78	$275.42	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $95.50 / $186.21	Professional	26	$77.62	$95.50	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $169.82 / $275.42	Professional	TC	$138.04	$169.82	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $288.40	Professional		$204.17	$257.04	$288.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $85.11 / $102.33	Professional	26	$77.62	$85.11	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $489.78	Professional		$213.80	$331.13	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $125.89 / $199.53	Professional	26	$79.43	$125.89	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $181.97 / $316.23	Professional	TC	$131.83	$181.97	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $537.03	Professional		$204.17	$263.03	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $100.00 / $213.80	Professional	26	$74.13	$100.00	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $162.18 / $316.23	Professional	TC	$128.82	$162.18	$316.23