Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.64 / $113.00 / $163.57	Facility	26	$101.64	$113.00	$163.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.87 / $475.00 / $677.68	Professional		$429.87	$475.00	$677.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.64 / $140.00 / $163.57	Professional	26	$101.64	$140.00	$163.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $328.23 / $335.00 / $514.10	Professional	TC	$328.23	$335.00	$514.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.43 / $258.66 / $594.91	Professional		$238.43	$258.66	$594.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.07 / $58.94 / $147.35	Professional	26	$47.07	$58.94	$147.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.20 / $579.20 / $579.20	Professional		$579.20	$579.20	$579.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.67 / $547.41 / $864.62	Professional		$254.67	$547.41	$864.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.74 / $104.68 / $133.19	Professional	26	$54.74	$104.68	$133.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.93 / $460.84 / $735.28	Professional	TC	$199.93	$460.84	$735.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $232.79	Professional		$32.34	$32.34	$232.79
United Facility/Professional Professional Modifier Low / Median / High Price $311.77 / $394.21 / $861.46	Professional		$311.77	$394.21	$861.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.45 / $78.93 / $164.00	Professional	26	$55.45	$78.93	$164.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $247.21 / $313.19 / $777.77	Professional	TC	$247.21	$313.19	$777.77