Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.33 / $145.81 / $216.63	Facility	26	$135.33	$145.81	$216.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $565.70 / $844.07	Professional		$475.00	$565.70	$844.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $135.33 / $145.81 / $216.63	Professional	26	$135.33	$145.81	$216.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $422.31 / $627.42	Professional	TC	$335.00	$422.31	$627.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.29 / $238.57 / $274.17	Professional		$234.29	$238.57	$274.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.39 / $73.98 / $152.43	Professional	26	$62.39	$73.98	$152.43
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 $290.38 / $832.31 / $1,436.99	Professional		$290.38	$832.31	$1,436.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.30 / $140.34 / $176.98	Professional	26	$72.30	$140.34	$176.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.08 / $622.66 / $1,286.00	Professional	TC	$218.08	$622.66	$1,286.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $268.39	Professional		$32.34	$32.34	$268.39
United Facility/Professional Professional Modifier Low / Median / High Price $346.80 / $592.92 / $1,463.68	Professional		$346.80	$592.92	$1,463.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.06 / $101.63 / $206.38	Professional	26	$71.06	$101.63	$206.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.45 / $521.86 / $1,374.57	Professional	TC	$259.45	$521.86	$1,374.57