Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.02 / $240.15 / $255.64	Facility	26	$135.02	$240.15	$255.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.41 / $349.58 / $472.24	Professional		$249.41	$349.58	$472.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.00 / $189.24 / $255.64	Professional	26	$98.00	$189.24	$255.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.40 / $203.47 / $231.33	Professional	TC	$114.40	$203.47	$231.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.14 / $326.14 / $326.14	Professional		$326.14	$326.14	$326.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $198.01 / $198.01 / $198.01	Professional	26	$198.01	$198.01	$198.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.91 / $554.91 / $554.91	Professional		$554.91	$554.91	$554.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.41 / $643.87 / $987.07	Professional		$348.41	$643.87	$987.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.40 / $180.88 / $232.45	Professional	26	$96.40	$180.88	$232.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.01 / $453.48 / $743.81	Professional	TC	$252.01	$453.48	$743.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $319.99	Professional		$32.34	$32.34	$319.99
United Facility/Professional Professional Modifier Low / Median / High Price $346.26 / $514.73 / $824.57	Professional		$346.26	$514.73	$824.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.38 / $139.41 / $223.40	Professional	26	$93.38	$139.41	$223.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.56 / $371.90 / $607.83	Professional	TC	$251.56	$371.90	$607.83