Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $120.23 / $436.52	Facility	26	$97.72	$120.23	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $870.96	Professional		$275.42	$389.05	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $87.10 / $218.78	Professional	26	$79.43	$87.10	$218.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $269.15 / $467.74	Professional	TC	$213.80	$269.15	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $457.09	Professional		$218.78	$257.04	$457.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $138.04	Professional	26	$64.57	$79.43	$138.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $173.78 / $316.23	Professional	TC	$144.54	$173.78	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $660.69	Professional		$251.19	$446.68	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $134.90 / $181.97	Professional	26	$64.57	$134.90	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $323.59 / $478.63	Professional	TC	$181.97	$323.59	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $630.96	Professional		$263.03	$354.81	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $102.33 / $186.21	Professional	26	$70.79	$102.33	$186.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $251.19 / $478.63	Professional	TC	$190.55	$251.19	$478.63