Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $67.61	Facility	26	$42.66	$42.66	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $446.68	Professional		$229.09	$275.42	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $40.74 / $83.18	Professional	26	$34.67	$40.74	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $239.88 / $380.19	Professional	TC	$190.55	$239.88	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $478.63	Professional		$177.83	$239.88	$478.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $40.74 / $51.29	Professional	26	$8.91	$40.74	$51.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	TC	$229.09	$229.09	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $467.74	Professional		$223.87	$309.03	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $47.86 / $70.79	Professional	26	$35.48	$47.86	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $263.03 / $398.11	Professional	TC	$190.55	$263.03	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $407.38	Professional		$223.87	$269.15	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $42.66 / $63.10	Professional	26	$33.11	$42.66	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $234.42 / $346.74	Professional	TC	$186.21	$234.42	$346.74