Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.21 / $44.12 / $74.27	Facility	26	$40.21	$44.12	$74.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.38 / $210.98 / $355.14	Professional		$191.38	$210.98	$355.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $44.12 / $74.27	Professional	26	$23.61	$44.12	$74.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.47 / $170.30 / $280.87	Professional	TC	$155.47	$170.30	$280.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $192.71 / $192.71	Professional		$192.71	$192.71	$192.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.26 / $34.51 / $65.47	Professional	26	$21.26	$34.51	$65.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $157.94 / $157.94 / $157.94	Professional	TC	$157.94	$157.94	$157.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $251.00 / $251.00	Professional		$251.00	$251.00	$251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.54 / $258.18 / $365.86	Professional		$179.54	$258.18	$365.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.99 / $37.29 / $57.74	Professional	26	$27.99	$37.29	$57.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.12 / $221.00 / $297.23	Professional	TC	$144.12	$221.00	$297.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $120.95	Professional		$32.34	$32.34	$120.95
United Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $237.75 / $343.34	Professional		$168.35	$237.75	$343.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.61 / $38.29 / $66.58	Professional	26	$25.61	$38.29	$66.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.87 / $204.20 / $287.74	Professional	TC	$143.87	$204.20	$287.74