Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $60.26 / $60.26	Facility	26	$53.70	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $630.96	Professional		$380.19	$436.52	$630.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $63.10 / $112.20	Professional	26	$52.48	$63.10	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $380.19 / $537.03	Professional	TC	$323.59	$380.19	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $954.99	Professional		$724.44	$724.44	$954.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $138.04	Professional	26	$47.86	$69.18	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $794.33	Professional		$346.74	$630.96	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $100.00 / $141.25	Professional	26	$63.10	$100.00	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $489.78 / $616.60	Professional	TC	$269.15	$489.78	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $46.77	Professional		$32.36	$33.11	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $870.96	Professional		$363.08	$512.86	$870.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $141.25	Professional	26	$53.70	$75.86	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $407.38 / $724.44	Professional	TC	$309.03	$407.38	$724.44