Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $208.93 / $208.93	Facility	26	$141.25	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $812.83	Professional		$309.03	$501.19	$812.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $128.82 / $208.93	Professional	26	$81.28	$128.82	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $346.74 / $660.69	Professional	TC	$229.09	$346.74	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $85.11 / $107.15	Professional	26	$75.86	$85.11	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $575.44 / $1,047.13	Professional		$257.04	$575.44	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $131.83 / $177.83	Professional	26	$61.66	$131.83	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $426.58 / $891.25	Professional	TC	$186.21	$426.58	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $1,047.13	Professional		$316.23	$436.52	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $95.50 / $173.78	Professional	26	$70.79	$95.50	$173.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $323.59 / $912.01	Professional	TC	$229.09	$323.59	$912.01