Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $161.62 / $173.53 / $257.82	Facility	26	$161.62	$173.53	$257.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $563.72 / $837.53	Professional		$475.00	$563.72	$837.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $161.63 / $257.82	Professional	26	$140.00	$161.63	$257.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $390.19 / $579.71	Professional	TC	$335.00	$390.19	$579.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.08 / $292.37 / $672.45	Professional		$242.08	$292.37	$672.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.95 / $95.58 / $235.05	Professional	26	$74.95	$95.58	$235.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.74 / $902.74 / $902.74	Professional		$902.74	$902.74	$902.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.39 / $758.78 / $1,391.05	Professional		$284.39	$758.78	$1,391.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $166.78 / $210.86	Professional	26	$86.34	$166.78	$210.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.05 / $587.36 / $1,224.27	Professional	TC	$198.05	$587.36	$1,224.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $263.13	Professional		$32.34	$32.34	$263.13
United Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $504.03 / $1,513.78	Professional		$356.63	$504.03	$1,513.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.89 / $121.16 / $225.21	Professional	26	$84.89	$121.16	$225.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $254.93 / $401.67 / $1,201.14	Professional	TC	$254.93	$401.67	$1,201.14