Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.55 / $179.75 / $302.57	Facility	26	$165.55	$179.75	$302.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.37 / $279.26 / $470.08	Professional		$242.37	$279.26	$470.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.25 / $165.65 / $302.57	Professional	26	$144.25	$165.65	$302.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $92.15 / $109.04 / $167.51	Professional	TC	$92.15	$109.04	$167.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.05 / $248.81 / $492.27	Professional		$199.05	$248.81	$492.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $190.59 / $190.59 / $353.33	Professional	26	$190.59	$190.59	$353.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.00 / $421.00 / $421.00	Professional		$421.00	$421.00	$421.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.45 / $365.33 / $455.49	Professional		$229.45	$365.33	$455.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $146.47 / $228.36 / $289.64	Professional	26	$146.47	$228.36	$289.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.98 / $133.56 / $173.95	Professional	TC	$82.98	$133.56	$173.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.63	Professional		$32.34	$32.34	$192.63
United Facility/Professional Professional Modifier Low / Median / High Price $235.73 / $298.30 / $470.18	Professional		$235.73	$298.30	$470.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $147.47 / $184.56 / $293.69	Professional	26	$147.47	$184.56	$293.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.45 / $111.65 / $159.53	Professional	TC	$87.45	$111.65	$159.53