Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.00 / $142.22 / $232.92	Facility	26	$98.00	$142.22	$232.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $596.01 / $828.74	Professional		$325.00	$596.01	$828.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.25 / $123.02 / $232.92	Professional	26	$91.25	$123.02	$232.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $227.00 / $447.91 / $595.82	Professional	TC	$227.00	$447.91	$595.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.31 / $328.93 / $756.54	Professional		$302.31	$328.93	$756.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.18 / $95.61 / $239.03	Professional	26	$76.18	$95.61	$239.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,305.00 / $1,305.00	Professional		$1,305.00	$1,305.00	$1,305.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.50 / $643.54 / $1,022.69	Professional		$319.50	$643.54	$1,022.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.00 / $170.77 / $214.11	Professional	26	$88.00	$170.77	$214.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.50 / $454.25 / $812.90	Professional	TC	$231.50	$454.25	$812.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $296.04	Professional		$32.34	$32.34	$296.04
United Facility/Professional Professional Modifier Low / Median / High Price $361.92 / $452.56 / $988.32	Professional		$361.92	$452.56	$988.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.77 / $123.07 / $211.74	Professional	26	$85.77	$123.07	$211.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $248.62 / $336.21 / $785.32	Professional	TC	$248.62	$336.21	$785.32