Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.41 / $150.66 / $253.62	Facility	26	$138.41	$150.66	$253.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.35 / $239.41 / $403.00	Professional		$209.35	$239.41	$403.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.34 / $138.41 / $253.62	Professional	26	$120.34	$138.41	$253.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.74 / $96.37 / $149.38	Professional	TC	$83.74	$96.37	$149.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.53 / $229.20 / $421.73	Professional		$170.53	$229.20	$421.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $137.26 / $159.22 / $295.20	Professional	26	$137.26	$159.22	$295.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Professional		$358.00	$358.00	$358.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.16 / $313.41 / $410.91	Professional		$196.16	$313.41	$410.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.61 / $190.38 / $244.74	Professional	26	$122.61	$190.38	$244.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.55 / $123.02 / $166.17	Professional	TC	$73.55	$123.02	$166.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $165.02	Professional		$32.34	$32.34	$165.02
United Facility/Professional Professional Modifier Low / Median / High Price $206.66 / $257.10 / $420.00	Professional		$206.66	$257.10	$420.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.81 / $155.38 / $256.44	Professional	26	$120.81	$155.38	$256.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $82.67 / $109.29 / $155.19	Professional	TC	$82.67	$109.29	$155.19