Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $181.97 / $269.15	Facility	26	$169.82	$181.97	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,122.02	Professional		$426.58	$616.60	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $162.18 / $316.23	Professional	26	$107.15	$162.18	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $489.78 / $977.24	Professional	TC	$338.84	$489.78	$977.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $102.33 / $102.33	Professional	26	$100.00	$102.33	$102.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $338.84 / $537.03	Professional	TC	$338.84	$338.84	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $1,479.11	Professional		$398.11	$812.83	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $165.96 / $223.87	Professional	26	$81.28	$165.96	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $645.65 / $1,318.26	Professional	TC	$302.00	$645.65	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,548.82	Professional		$467.74	$676.08	$1,548.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $123.03 / $229.09	Professional	26	$91.20	$123.03	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $501.19 / $1,380.38	Professional	TC	$371.54	$501.19	$1,380.38