Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.03 / $93.11 / $156.72	Facility	26	$85.03	$93.11	$156.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $174.63 / $304.35	Professional		$130.08	$174.63	$304.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.04 / $85.03 / $156.72	Professional	26	$75.04	$85.03	$156.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $87.69 / $147.62	Professional	TC	$55.03	$87.69	$147.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $207.42 / $207.42	Professional		$207.42	$207.42	$207.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.23 / $84.31 / $97.91	Professional	26	$79.23	$84.31	$97.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $219.00 / $219.00	Professional		$219.00	$219.00	$219.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $206.76 / $298.19	Professional		$146.88	$206.76	$298.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.50 / $111.92 / $150.38	Professional	26	$75.50	$111.92	$150.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.89 / $86.16 / $148.66	Professional	TC	$44.89	$86.16	$148.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $121.06	Professional		$32.34	$32.34	$121.06
United Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $165.68 / $280.83	Professional		$140.97	$165.68	$280.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $96.24 / $150.29	Professional	26	$74.09	$96.24	$150.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.68 / $78.81 / $140.37	Professional	TC	$44.68	$78.81	$140.37