Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $213.80 / $213.80	Facility	26	$144.54	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,071.52	Professional		$346.74	$524.81	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $134.90 / $213.80	Professional	26	$85.11	$134.90	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $380.19 / $794.33	Professional	TC	$257.04	$380.19	$794.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $81.28	Professional	26	$81.28	$81.28	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $602.56 / $954.99	Professional		$281.84	$602.56	$954.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $138.04 / $181.97	Professional	26	$63.10	$138.04	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $436.52 / $776.25	Professional	TC	$213.80	$436.52	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $954.99	Professional		$323.59	$436.52	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $97.72 / $181.97	Professional	26	$70.79	$97.72	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $331.13 / $776.25	Professional	TC	$239.88	$331.13	$776.25