Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.90 / $177.07 / $263.08	Facility	26	$164.90	$177.07	$263.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $565.22 / $839.75	Professional		$475.00	$565.22	$839.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $164.91 / $263.08	Professional	26	$140.00	$164.91	$263.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $388.15 / $576.66	Professional	TC	$335.00	$388.15	$576.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.49 / $293.43 / $674.89	Professional		$237.49	$293.43	$674.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $76.48 / $95.92 / $239.80	Professional	26	$76.48	$95.92	$239.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $908.33 / $908.33 / $908.33	Professional		$908.33	$908.33	$908.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.35 / $716.88 / $1,402.55	Professional		$285.35	$716.88	$1,402.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.37 / $175.09 / $216.32	Professional	26	$88.37	$175.09	$216.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $196.98 / $543.79 / $1,227.10	Professional	TC	$196.98	$543.79	$1,227.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $264.08	Professional		$32.34	$32.34	$264.08
United Facility/Professional Professional Modifier Low / Median / High Price $357.62 / $506.21 / $1,512.60	Professional		$357.62	$506.21	$1,512.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.52 / $127.34 / $227.07	Professional	26	$92.52	$127.34	$227.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.12 / $342.56 / $1,202.64	Professional	TC	$244.12	$342.56	$1,202.64