Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $41.69 / $57.54	Facility	26	$39.81	$41.69	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $549.54	Professional		$169.82	$245.47	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $45.71 / $128.82	Professional	26	$34.67	$45.71	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $173.78 / $316.23	Professional	TC	$141.25	$173.78	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $302.00	Professional		$123.03	$169.82	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $63.10	Professional	26	$28.18	$38.02	$63.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $131.83 / $194.98	Professional	TC	$107.15	$131.83	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $331.13	Professional		$181.97	$223.87	$331.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $53.70 / $74.13	Professional	26	$38.02	$53.70	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $169.82 / $245.47	Professional	TC	$144.54	$169.82	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $407.38	Professional		$194.98	$263.03	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.69 / $77.62	Professional	26	$31.62	$41.69	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $213.80 / $331.13	Professional	TC	$154.88	$213.80	$331.13
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 $177.83 / $223.87 / $380.19	Professional		$177.83	$223.87	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $38.02 / $61.66	Professional	26	$28.84	$38.02	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $190.55 / $323.59	Professional	TC	$141.25	$190.55	$323.59