Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.15 / $63.97 / $107.68	Facility	26	$58.15	$63.97	$107.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $286.42 / $482.13	Professional		$246.93	$286.42	$482.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.58 / $94.17 / $163.80	Professional	26	$52.58	$94.17	$163.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.77 / $222.45 / $374.46	Professional	TC	$169.77	$222.45	$374.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.07 / $176.37 / $255.74	Professional		$174.07	$176.37	$255.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.95 / $43.50 / $124.95	Professional	26	$39.95	$43.50	$124.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $402.00 / $402.00	Professional		$402.00	$402.00	$402.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.34 / $378.97 / $506.57	Professional		$250.34	$378.97	$506.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.01 / $84.81 / $136.25	Professional	26	$52.01	$84.81	$136.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.67 / $286.76 / $394.99	Professional	TC	$188.67	$286.76	$394.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $158.34	Professional		$32.34	$32.34	$158.34
United Facility/Professional Professional Modifier Low / Median / High Price $240.19 / $349.65 / $519.69	Professional		$240.19	$349.65	$519.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.21 / $84.13 / $129.60	Professional	26	$50.21	$84.13	$129.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $183.48 / $252.84 / $378.59	Professional	TC	$183.48	$252.84	$378.59