Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $81.28 / $123.03	Facility	26	$79.43	$81.28	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $354.81	Professional		$125.89	$173.78	$354.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $83.18 / $194.98	Professional	26	$72.44	$83.18	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $61.66 / $102.33	Professional	TC	$52.48	$61.66	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $218.78	Professional		$112.20	$144.54	$218.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $77.62 / $97.72	Professional	26	$70.79	$77.62	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $251.19	Professional		$107.15	$144.54	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $83.18 / $147.91	Professional	26	$77.62	$83.18	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $58.88 / $85.11	Professional	TC	$23.99	$58.88	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $288.40	Professional		$144.54	$173.78	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $100.00 / $154.88	Professional	26	$81.28	$100.00	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $75.86 / $114.82	Professional	TC	$58.88	$75.86	$114.82
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 $125.89 / $151.36 / $245.47	Professional		$125.89	$151.36	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $87.10 / $141.25	Professional	26	$70.79	$87.10	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $66.07 / $107.15	Professional	TC	$52.48	$66.07	$107.15