Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $177.83 / $177.83	Facility	26	$120.23	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,047.13	Professional		$338.84	$524.81	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $120.23 / $223.87	Professional	26	$72.44	$120.23	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $389.05 / $870.96	Professional	TC	$263.03	$389.05	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $245.47	Professional		$218.78	$218.78	$245.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $66.07 / $158.49	Professional	26	$52.48	$66.07	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $676.08 / $1,445.44	Professional		$275.42	$676.08	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $128.82 / $173.78	Professional	26	$52.48	$128.82	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $524.81 / $1,288.25	Professional	TC	$218.78	$524.81	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,479.11	Professional		$331.13	$524.81	$1,479.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $165.96	Professional	26	$66.07	$83.18	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $426.58 / $1,380.38	Professional	TC	$257.04	$426.58	$1,380.38