Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $213.80 / $213.80	Facility	26	$144.54	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $812.83	Professional		$281.84	$446.68	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $134.90 / $229.09	Professional	26	$85.11	$134.90	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $316.23 / $588.84	Professional	TC	$194.98	$316.23	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $77.62 / $79.43	Professional	26	$63.10	$77.62	$79.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	TC	$134.90	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $489.78 / $977.24	Professional		$229.09	$489.78	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $138.04 / $181.97	Professional	26	$64.57	$138.04	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $354.81 / $812.83	Professional	TC	$154.88	$354.81	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $1,023.29	Professional		$263.03	$380.19	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $97.72 / $181.97	Professional	26	$72.44	$97.72	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $269.15 / $891.25	Professional	TC	$186.21	$269.15	$891.25