Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.82 / $83.19 / $88.91	Facility	26	$52.82	$83.19	$88.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.22 / $288.20 / $485.15	Professional		$219.22	$288.20	$485.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $52.82 / $88.91	Professional	26	$44.14	$52.82	$88.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.96 / $235.39 / $396.24	Professional	TC	$169.96	$235.39	$396.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.82 / $102.83 / $102.83	Professional	26	$24.82	$102.83	$102.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.67 / $359.89 / $483.27	Professional		$234.67	$359.89	$483.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.34 / $60.34 / $76.05	Professional	26	$43.34	$60.34	$76.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.11 / $293.89 / $391.85	Professional	TC	$198.11	$293.89	$391.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $172.42	Professional		$32.34	$32.34	$172.42
United Facility/Professional Professional Modifier Low / Median / High Price $225.99 / $316.88 / $478.09	Professional		$225.99	$316.88	$478.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.14 / $53.34 / $83.56	Professional	26	$41.14	$53.34	$83.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.79 / $258.95 / $368.34	Professional	TC	$194.79	$258.95	$368.34