Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.91 / $152.11 / $178.15	Facility	26	$119.91	$152.11	$178.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $538.04 / $801.79	Professional		$475.00	$538.04	$801.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.67 / $140.00 / $178.15	Professional	26	$110.67	$140.00	$178.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $419.76 / $623.65	Professional	TC	$335.00	$419.76	$623.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.21 / $223.21 / $223.21	Professional		$223.21	$223.21	$223.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.26 / $121.72 / $160.55	Professional	26	$51.26	$121.72	$160.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.80 / $1,258.80 / $1,258.80	Professional		$1,258.80	$1,258.80	$1,258.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $790.80 / $1,433.27	Professional		$276.61	$790.80	$1,433.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.60 / $130.44 / $172.77	Professional	26	$59.60	$130.44	$172.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.01 / $618.22 / $1,286.00	Professional	TC	$217.01	$618.22	$1,286.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $255.13	Professional		$32.34	$32.34	$255.13
United Facility/Professional Professional Modifier Low / Median / High Price $329.50 / $528.32 / $1,462.56	Professional		$329.50	$528.32	$1,462.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.90 / $86.29 / $179.78	Professional	26	$69.90	$86.29	$179.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.58 / $421.89 / $1,373.40	Professional	TC	$257.58	$421.89	$1,373.40