Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.72 / $54.72 / $103.92	Facility	26	$54.72	$54.72	$103.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.65 / $428.04 / $686.77	Professional		$361.65	$428.04	$686.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.13 / $64.48 / $103.92	Professional	26	$55.13	$64.48	$103.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $306.92 / $369.41 / $582.84	Professional	TC	$306.92	$369.41	$582.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.20 / $65.20 / $65.20	Professional	26	$65.20	$65.20	$65.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $696.00 / $696.00	Professional		$696.00	$696.00	$696.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $586.08 / $728.62	Professional		$350.00	$586.08	$728.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.40 / $98.95 / $145.25	Professional	26	$57.40	$98.95	$145.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $270.00 / $492.75 / $615.29	Professional	TC	$270.00	$492.75	$615.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $330.24	Professional		$32.34	$32.34	$330.24
United Facility/Professional Professional Modifier Low / Median / High Price $366.30 / $494.45 / $747.68	Professional		$366.30	$494.45	$747.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.18 / $81.53 / $131.04	Professional	26	$53.18	$81.53	$131.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $308.77 / $410.20 / $610.91	Professional	TC	$308.77	$410.20	$610.91