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 $371.54 / $549.54 / $977.24	Professional		$371.54	$549.54	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $165.96 / $331.13	Professional	26	$102.33	$165.96	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $436.52 / $870.96	Professional	TC	$295.12	$436.52	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $776.25	Professional		$234.42	$331.13	$776.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $97.72 / $234.42	Professional	26	$75.86	$97.72	$234.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	TC	$416.87	$416.87	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $707.95 / $1,380.38	Professional		$323.59	$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 $239.88 / $512.86 / $1,174.90	Professional	TC	$239.88	$512.86	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,513.56	Professional		$380.19	$549.54	$1,513.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $117.49 / $213.80	Professional	26	$87.10	$117.49	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $398.11 / $1,318.26	Professional	TC	$288.40	$398.11	$1,318.26