Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.90 / $177.58 / $263.83	Facility	26	$164.90	$177.58	$263.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $564.20 / $838.24	Professional		$475.00	$564.20	$838.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $164.91 / $263.83	Professional	26	$140.00	$164.91	$263.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $386.62 / $574.40	Professional	TC	$335.00	$386.62	$574.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.59 / $292.33 / $672.36	Professional		$236.59	$292.33	$672.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.73 / $96.17 / $239.80	Professional	26	$76.73	$96.17	$239.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $165.04 / $165.04 / $165.04	Professional	TC	$165.04	$165.04	$165.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $907.70 / $907.70 / $907.70	Professional		$907.70	$907.70	$907.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $715.40 / $1,402.01	Professional		$284.27	$715.40	$1,402.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.37 / $175.09 / $216.32	Professional	26	$88.37	$175.09	$216.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $195.91 / $542.33 / $1,226.56	Professional	TC	$195.91	$542.33	$1,226.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $263.10	Professional		$32.34	$32.34	$263.10
United Facility/Professional Professional Modifier Low / Median / High Price $356.96 / $504.96 / $1,566.95	Professional		$356.96	$504.96	$1,566.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.51 / $126.42 / $227.06	Professional	26	$89.51	$126.42	$227.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $247.72 / $341.68 / $1,190.36	Professional	TC	$247.72	$341.68	$1,190.36