Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $181.97 / $302.00	Facility	26	$173.78	$181.97	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $1,023.29	Professional		$331.13	$537.03	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $173.78 / $380.19	Professional	26	$102.33	$173.78	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $363.08 / $676.08	Professional	TC	$218.78	$363.08	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $645.65	Professional		$251.19	$281.84	$645.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $104.71 / $251.19	Professional	26	$81.28	$104.71	$251.19
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $218.78 / $316.23	Professional	TC	$199.53	$218.78	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $602.56 / $1,380.38	Professional		$269.15	$602.56	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $181.97 / $245.47	Professional	26	$81.28	$181.97	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $407.38 / $1,174.90	Professional	TC	$177.83	$407.38	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $1,513.56	Professional		$309.03	$446.68	$1,513.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $128.82 / $257.04	Professional	26	$97.72	$128.82	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $309.03 / $1,258.93	Professional	TC	$213.80	$309.03	$1,258.93