Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.43 / $64.77 / $109.04	Facility	26	$59.43	$64.77	$109.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $402.96 / $678.32	Professional		$302.81	$402.96	$678.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.70 / $64.77 / $109.04	Professional	26	$51.70	$64.77	$109.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $316.05 / $569.28	Professional	TC	$251.27	$316.05	$569.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $423.40 / $747.94	Professional		$302.43	$423.40	$747.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.43 / $68.52 / $127.03	Professional	26	$55.43	$68.52	$127.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.00 / $419.00 / $419.00	Professional		$419.00	$419.00	$419.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.92 / $414.34 / $607.89	Professional		$259.92	$414.34	$607.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.96 / $77.94 / $104.66	Professional	26	$52.96	$77.94	$104.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.67 / $318.19 / $503.22	Professional	TC	$189.67	$318.19	$503.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $292.67	Professional		$32.34	$32.34	$292.67
United Facility/Professional Professional Modifier Low / Median / High Price $223.97 / $345.70 / $567.74	Professional		$223.97	$345.70	$567.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.36 / $71.03 / $108.32	Professional	26	$52.36	$71.03	$108.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.52 / $288.57 / $528.60	Professional	TC	$167.52	$288.57	$528.60