Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.21 / $144.60 / $214.84	Facility	26	$134.21	$144.60	$214.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.97 / $475.00 / $681.21	Professional		$456.97	$475.00	$681.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.22 / $144.60 / $214.84	Professional	26	$134.22	$144.60	$214.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $313.91 / $335.00 / $466.37	Professional	TC	$313.91	$335.00	$466.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.77 / $62.77 / $134.27	Professional	26	$62.77	$62.77	$134.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.00 / $881.00 / $881.00	Professional		$881.00	$881.00	$881.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.34 / $520.41 / $999.02	Professional		$232.34	$520.41	$999.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.14 / $143.02 / $184.82	Professional	26	$72.14	$143.02	$184.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.21 / $365.06 / $814.19	Professional	TC	$160.21	$365.06	$814.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $215.20	Professional		$32.34	$32.34	$215.20
United Facility/Professional Professional Modifier Low / Median / High Price $282.25 / $407.93 / $1,000.24	Professional		$282.25	$407.93	$1,000.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.27 / $103.59 / $193.47	Professional	26	$76.27	$103.59	$193.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.62 / $274.57 / $908.86	Professional	TC	$195.62	$274.57	$908.86