Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $123.03 / $218.78	Facility	26	$97.72	$123.03	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $776.25	Professional		$275.42	$457.09	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $114.82 / $263.03	Professional	26	$93.33	$114.82	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $562.34	Professional	TC	$218.78	$338.84	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $776.25	Professional		$338.84	$338.84	$776.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $97.72 / $165.96	Professional	26	$77.62	$97.72	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $616.60 / $1,023.29	Professional		$316.23	$616.60	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $158.49 / $213.80	Professional	26	$77.62	$158.49	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $446.68 / $812.83	Professional	TC	$229.09	$446.68	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $954.99	Professional		$346.74	$457.09	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $123.03 / $218.78	Professional	26	$85.11	$123.03	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $338.84 / $776.25	Professional	TC	$239.88	$338.84	$776.25