Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.19 / $234.65 / $274.81	Facility	26	$172.19	$234.65	$274.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $534.29 / $794.21	Professional		$475.00	$534.29	$794.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $172.28 / $274.81	Professional	26	$140.00	$172.28	$274.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $362.09 / $519.41	Professional	TC	$335.00	$362.09	$519.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.60 / $255.37 / $642.87	Professional		$223.60	$255.37	$642.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.33 / $101.86 / $250.45	Professional	26	$80.33	$101.86	$250.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.02 / $826.02 / $826.02	Professional		$826.02	$826.02	$826.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.02 / $609.86 / $1,384.34	Professional		$271.02	$609.86	$1,384.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.30 / $186.79 / $247.04	Professional	26	$92.30	$186.79	$247.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $178.73 / $411.34 / $1,167.32	Professional	TC	$178.73	$411.34	$1,167.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $251.56	Professional		$32.34	$32.34	$251.56
United Facility/Professional Professional Modifier Low / Median / High Price $325.60 / $462.94 / $1,554.71	Professional		$325.60	$462.94	$1,554.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.93 / $133.16 / $268.86	Professional	26	$101.93	$133.16	$268.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $219.72 / $312.89 / $1,099.58	Professional	TC	$219.72	$312.89	$1,099.58