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 / $532.29 / $791.18	Professional		$475.00	$532.29	$791.18
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 / $360.10 / $516.37	Professional	TC	$335.00	$360.10	$516.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.72 / $278.39 / $640.32	Professional		$222.72	$278.39	$640.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.14 / $100.42 / $250.45	Professional	26	$80.14	$100.42	$250.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $74.87 / $74.87 / $74.87	Professional	TC	$74.87	$74.87	$74.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.17 / $882.17 / $882.17	Professional		$882.17	$882.17	$882.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $607.03 / $1,414.06	Professional		$269.95	$607.03	$1,414.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.30 / $183.10 / $228.06	Professional	26	$92.30	$183.10	$228.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.65 / $408.51 / $1,210.09	Professional	TC	$177.65	$408.51	$1,210.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $250.56	Professional		$32.34	$32.34	$250.56
United Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $461.08 / $1,385.06	Professional		$316.89	$461.08	$1,385.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.32 / $133.16 / $237.45	Professional	26	$94.32	$133.16	$237.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.19 / $306.62 / $1,167.47	Professional	TC	$217.19	$306.62	$1,167.47