Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $151.36	Facility	26	$138.04	$138.04	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $524.81	Professional		$199.53	$257.04	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $141.25 / $257.04	Professional	26	$117.49	$141.25	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $95.50 / $144.54	Professional	TC	$75.86	$95.50	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $288.40	Professional		$173.78	$223.87	$288.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $151.36 / $295.12	Professional	26	$123.03	$151.36	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $436.52	Professional		$204.17	$316.23	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $190.55 / $257.04	Professional	26	$128.82	$190.55	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $123.03 / $181.97	Professional	TC	$77.62	$123.03	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $58.88	Professional		$32.36	$33.11	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $380.19	Professional		$204.17	$257.04	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $154.88 / $229.09	Professional	26	$120.23	$154.88	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $102.33 / $154.88	Professional	TC	$81.28	$102.33	$154.88