Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $161.12 / $173.02 / $257.06	Facility	26	$161.12	$173.02	$257.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $564.74 / $839.04	Professional		$475.00	$564.74	$839.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $161.16 / $257.06	Professional	26	$140.00	$161.16	$257.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $391.72 / $581.98	Professional	TC	$335.00	$391.72	$581.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.37 / $294.02 / $294.02	Professional		$269.37	$294.02	$294.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.00 / $93.75 / $234.38	Professional	26	$75.00	$93.75	$234.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.84 / $889.84 / $889.84	Professional		$889.84	$889.84	$889.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.73 / $700.00 / $1,385.01	Professional		$285.73	$700.00	$1,385.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $166.78 / $210.20	Professional	26	$86.34	$166.78	$210.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.40 / $531.29 / $1,218.23	Professional	TC	$199.40	$531.29	$1,218.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $264.62	Professional		$32.34	$32.34	$264.62
United Facility/Professional Professional Modifier Low / Median / High Price $348.43 / $494.01 / $1,507.21	Professional		$348.43	$494.01	$1,507.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $88.14 / $124.43 / $225.89	Professional	26	$88.14	$124.43	$225.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.99 / $400.67 / $1,190.03	Professional	TC	$248.99	$400.67	$1,190.03