Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.12 / $180.00 / $258.58	Facility	26	$162.12	$180.00	$258.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $648.37 / $963.29	Professional		$475.00	$648.37	$963.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $162.12 / $258.58	Professional	26	$140.00	$162.12	$258.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $474.32 / $704.71	Professional	TC	$335.00	$474.32	$704.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.86 / $577.04 / $764.36	Professional		$265.86	$577.04	$764.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.41 / $95.58 / $235.05	Professional	26	$75.41	$95.58	$235.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.80 / $974.80 / $974.80	Professional		$974.80	$974.80	$974.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.00 / $746.71 / $1,378.05	Professional		$326.00	$746.71	$1,378.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.87 / $166.78 / $211.52	Professional	26	$86.87	$166.78	$211.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.12 / $559.78 / $1,185.88	Professional	TC	$239.12	$559.78	$1,185.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $299.10	Professional		$32.34	$32.34	$299.10
United Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $550.87 / $1,472.01	Professional		$402.80	$550.87	$1,472.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.77 / $122.77 / $215.85	Professional	26	$87.77	$122.77	$215.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $298.80 / $410.77 / $1,150.60	Professional	TC	$298.80	$410.77	$1,150.60