Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $131.83 / $194.98	Facility	26	$123.03	$131.83	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $1,288.25	Professional		$323.59	$524.81	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $128.82 / $208.93	Professional	26	$77.62	$128.82	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $354.81 / $707.95	Professional	TC	$263.03	$354.81	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $645.65	Professional		$213.80	$467.74	$645.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $72.44 / $120.23	Professional	26	$57.54	$72.44	$120.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	TC	$181.97	$181.97	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $575.44 / $912.01	Professional		$263.03	$575.44	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $123.03 / $165.96	Professional	26	$57.54	$123.03	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $436.52 / $776.25	Professional	TC	$199.53	$436.52	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $977.24	Professional		$309.03	$426.58	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $89.13 / $162.18	Professional	26	$67.61	$89.13	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $331.13 / $831.76	Professional	TC	$239.88	$331.13	$831.76