Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $161.62 / $174.04 / $258.58	Facility	26	$161.62	$174.04	$258.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $685.08 / $1,017.84	Professional		$475.00	$685.08	$1,017.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $162.11 / $258.58	Professional	26	$140.00	$162.11	$258.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $511.04 / $759.26	Professional	TC	$335.00	$511.04	$759.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $299.08 / $352.42 / $810.57	Professional		$299.08	$352.42	$810.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.95 / $94.02 / $235.05	Professional	26	$74.95	$94.02	$235.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $947.34 / $947.34 / $947.34	Professional		$947.34	$947.34	$947.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.79 / $789.60 / $1,393.24	Professional		$344.79	$789.60	$1,393.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.60 / $167.33 / $211.52	Professional	26	$86.60	$167.33	$211.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $258.18 / $603.23 / $1,225.91	Professional	TC	$258.18	$603.23	$1,225.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $317.18	Professional		$32.34	$32.34	$317.18
United Facility/Professional Professional Modifier Low / Median / High Price $423.25 / $549.73 / $1,400.83	Professional		$423.25	$549.73	$1,400.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.14 / $123.04 / $221.00	Professional	26	$85.14	$123.04	$221.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $322.16 / $425.76 / $1,334.07	Professional	TC	$322.16	$425.76	$1,334.07