Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $57.54 / $100.00	Facility	26	$57.54	$57.54	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $575.44	Professional		$239.88	$295.12	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $81.28 / $162.18	Professional	26	$52.48	$81.28	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $234.42 / $426.58	Professional	TC	$186.21	$234.42	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $331.13	Professional		$169.82	$229.09	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $53.70 / $125.89	Professional	26	$43.65	$53.70	$125.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $162.18 / $162.18	Professional	TC	$151.36	$162.18	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $575.44	Professional		$239.88	$371.54	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $83.18 / $141.25	Professional	26	$51.29	$83.18	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $281.84 / $426.58	Professional	TC	$186.21	$281.84	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $512.86	Professional		$229.09	$323.59	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $70.79 / $131.83	Professional	26	$50.12	$70.79	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $245.47 / $389.05	Professional	TC	$181.97	$245.47	$389.05