Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $190.55 / $288.40	Facility	26	$190.55	$190.55	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $794.33	Professional		$269.15	$346.74	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $194.98 / $549.54	Professional	26	$169.82	$194.98	$549.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $112.20 / $177.83	Professional	TC	$93.33	$112.20	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $512.86	Professional		$257.04	$316.23	$512.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $194.98 / $269.15	Professional	26	$165.96	$194.98	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $436.52	Professional		$234.42	$302.00	$436.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $199.53 / $346.74	Professional	26	$181.97	$199.53	$346.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $107.15 / $162.18	Professional	TC	$33.11	$107.15	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $588.84	Professional		$309.03	$371.54	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $234.42 / $363.08	Professional	26	$194.98	$234.42	$363.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $138.04 / $213.80	Professional	TC	$107.15	$138.04	$213.80
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 $263.03 / $323.59 / $512.86	Professional		$263.03	$323.59	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $204.17 / $331.13	Professional	26	$165.96	$204.17	$331.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $120.23 / $186.21	Professional	TC	$95.50	$120.23	$186.21