Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $75.86 / $158.49	Facility	26	$57.54	$75.86	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $831.76	Professional		$338.84	$446.68	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $72.44 / $173.78	Professional	26	$52.48	$72.44	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $380.19 / $602.56	Professional	TC	$288.40	$380.19	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $104.71	Professional	26	$47.86	$69.18	$104.71
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 $346.74 / $467.74 / $707.95	Professional		$346.74	$467.74	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $79.43 / $281.84	Professional	26	$56.23	$79.43	$281.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $407.38 / $549.54	Professional	TC	$131.83	$407.38	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $870.96	Professional		$389.05	$562.34	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $95.50 / $131.83	Professional	26	$63.10	$95.50	$131.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $501.19 / $741.31	Professional	TC	$363.08	$501.19	$741.31
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 $354.81 / $436.52 / $758.58	Professional		$354.81	$436.52	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $77.62 / $125.89	Professional	26	$52.48	$77.62	$125.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $363.08 / $616.60	Professional	TC	$295.12	$363.08	$616.60