Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $144.54 / $144.54	Facility	26	$95.50	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $602.56	Professional		$234.42	$371.54	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $89.13 / $154.88	Professional	26	$57.54	$89.13	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $281.84 / $436.52	Professional	TC	$173.78	$281.84	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Professional	26	$128.82	$128.82	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $478.63 / $912.01	Professional		$190.55	$478.63	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $91.20 / $138.04	Professional	26	$42.66	$91.20	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $389.05 / $794.33	Professional	TC	$141.25	$389.05	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $912.01	Professional		$229.09	$338.84	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $66.07 / $123.03	Professional	26	$46.77	$66.07	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $275.42 / $776.25	Professional	TC	$169.82	$275.42	$776.25