Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.52 / $98.52 / $165.84	Facility	26	$98.52	$98.52	$165.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $432.29 / $765.14	Professional		$365.98	$432.29	$765.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $91.54 / $165.84	Professional	26	$81.31	$91.54	$165.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $342.78 / $599.29	Professional	TC	$284.67	$342.78	$599.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $347.63 / $504.06 / $934.48	Professional		$347.63	$504.06	$934.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.30 / $103.58 / $192.03	Professional	26	$89.30	$103.58	$192.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.00 / $687.00 / $687.00	Professional		$687.00	$687.00	$687.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $420.96 / $707.61	Professional		$222.79	$420.96	$707.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.08 / $120.18 / $166.05	Professional	26	$81.08	$120.18	$166.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $238.40 / $377.86 / $573.22	Professional	TC	$238.40	$377.86	$573.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $336.41	Professional		$32.34	$32.34	$336.41
United Facility/Professional Professional Modifier Low / Median / High Price $309.14 / $399.71 / $644.16	Professional		$309.14	$399.71	$644.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.73 / $107.84 / $159.94	Professional	26	$79.73	$107.84	$159.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.92 / $308.44 / $510.55	Professional	TC	$223.92	$308.44	$510.55