Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.31 / $121.23 / $204.07	Facility	26	$111.31	$121.23	$204.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.09 / $199.15 / $334.03	Professional		$174.09	$199.15	$334.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.29 / $111.32 / $204.07	Professional	26	$96.29	$111.32	$204.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.06 / $84.91 / $129.96	Professional	TC	$73.06	$84.91	$129.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $198.41 / $350.50	Professional		$152.38	$198.41	$350.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $109.91 / $137.08 / $236.35	Professional	26	$109.91	$137.08	$236.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Professional		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $258.37 / $343.98	Professional		$162.44	$258.37	$343.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.15 / $152.38 / $196.04	Professional	26	$98.15	$152.38	$196.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.31 / $105.98 / $147.94	Professional	TC	$64.31	$105.98	$147.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $137.15	Professional		$32.34	$32.34	$137.15
United Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $208.82 / $330.41	Professional		$169.73	$208.82	$330.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.33 / $125.61 / $190.96	Professional	26	$98.33	$125.61	$190.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.16 / $101.34 / $142.77	Professional	TC	$72.16	$101.34	$142.77