Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $936.00 / $1,831.00	Facility		$461.00	$936.00	$1,831.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.95 / $36.95 / $108.20	Facility	26	$36.95	$36.95	$108.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $172.87 / $506.27	Professional		$134.41	$172.87	$506.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.95 / $43.81 / $108.20	Professional	26	$36.95	$43.81	$108.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.17 / $135.91 / $398.07	Professional	TC	$94.17	$135.91	$398.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.20 / $352.20 / $352.20	Professional		$352.20	$352.20	$352.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $305.00 / $305.00	Professional		$305.00	$305.00	$305.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $240.25 / $305.47	Professional		$136.75	$240.25	$305.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.03 / $72.20 / $107.30	Professional	26	$39.03	$72.20	$107.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.87 / $165.35 / $223.50	Professional	TC	$88.87	$165.35	$223.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $529.00 / $1,739.00	Facility		$225.00	$529.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.15 / $198.15 / $398.34	Professional		$137.15	$198.15	$398.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.67 / $57.32 / $108.04	Professional	26	$37.67	$57.32	$108.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.57 / $132.99 / $295.00	Professional	TC	$85.57	$132.99	$295.00