Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $173.78 / $257.04	Facility	26	$162.18	$173.78	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,122.02	Professional		$363.08	$549.54	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $169.82 / $354.81	Professional	26	$102.33	$169.82	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $371.54 / $724.44	Professional	TC	$245.47	$371.54	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $691.83	Professional		$199.53	$263.03	$691.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $104.71 / $234.42	Professional	26	$75.86	$104.71	$234.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $346.74 / $346.74 / $346.74	Professional	TC	$346.74	$346.74	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $630.96 / $1,380.38	Professional		$288.40	$630.96	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $165.96 / $208.93	Professional	26	$75.86	$165.96	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $457.09 / $1,230.27	Professional	TC	$199.53	$457.09	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,548.82	Professional		$346.74	$489.78	$1,548.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $117.49 / $213.80	Professional	26	$85.11	$117.49	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $346.74 / $1,318.26	Professional	TC	$245.47	$346.74	$1,318.26