Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.51 / $171.30 / $280.80	Facility		$84.51	$171.30	$280.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.15 / $14.41 / $31.65	Facility	26	$13.15	$14.41	$31.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $103.12 / $200.96	Professional		$81.59	$103.12	$200.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $16.54 / $31.65	Professional	26	$13.15	$16.54	$31.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.40 / $83.94 / $169.31	Professional	TC	$67.40	$83.94	$169.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $35.58 / $35.58	Professional	26	$11.46	$35.58	$35.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $553.95 / $553.95 / $609.35	Facility		$553.95	$553.95	$609.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $205.43 / $461.26	Facility		$86.87	$205.43	$461.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $116.16 / $163.87	Professional		$72.18	$116.16	$163.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.27 / $25.17 / $32.43	Professional	26	$13.27	$25.17	$32.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.51 / $94.92 / $132.29	Professional	TC	$58.51	$94.92	$132.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $32.34 / $76.78	Professional		$12.96	$32.34	$76.78
United Facility/Professional Facility Modifier Low / Median / High Price $175.22 / $175.22 / $368.21	Facility		$175.22	$175.22	$368.21
United Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $98.89 / $173.48	Professional		$67.62	$98.89	$173.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $18.96 / $34.88	Professional	26	$13.30	$18.96	$34.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.74 / $79.98 / $138.60	Professional	TC	$52.74	$79.98	$138.60