Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $173.78 / $257.04	Facility	26	$162.18	$173.78	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,318.26	Professional		$416.87	$602.56	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $162.18 / $263.03	Professional	26	$100.00	$162.18	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $457.09 / $933.25	Professional	TC	$316.23	$457.09	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $831.76	Professional		$323.59	$616.60	$831.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $95.50 / $138.04	Professional	26	$75.86	$95.50	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $707.95 / $1,380.38	Professional		$346.74	$707.95	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $165.96 / $213.80	Professional	26	$77.62	$165.96	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $549.54 / $1,230.27	Professional	TC	$257.04	$549.54	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $1,513.56	Professional		$407.38	$575.44	$1,513.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $117.49 / $218.78	Professional	26	$87.10	$117.49	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $426.58 / $1,348.96	Professional	TC	$316.23	$426.58	$1,348.96