Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $134.90 / $204.17	Facility	26	$131.83	$134.90	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $758.58	Professional		$199.53	$295.12	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $144.54 / $380.19	Professional	26	$120.23	$144.54	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $91.20 / $147.91	Professional	TC	$77.62	$91.20	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $380.19	Professional		$177.83	$229.09	$380.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $141.25 / $181.97	Professional	26	$120.23	$141.25	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $407.38	Professional		$169.82	$223.87	$407.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $141.25 / $245.47	Professional	26	$128.82	$141.25	$245.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $83.18 / $128.82	Professional	TC	$30.20	$83.18	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $457.09	Professional		$229.09	$281.84	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $165.96 / $257.04	Professional	26	$138.04	$165.96	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $112.20 / $169.82	Professional	TC	$87.10	$112.20	$169.82
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 $199.53 / $239.88 / $398.11	Professional		$199.53	$239.88	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $144.54 / $234.42	Professional	26	$117.49	$144.54	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $97.72 / $158.49	Professional	TC	$79.43	$97.72	$158.49