Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $193.99 / $208.43 / $309.67	Facility	26	$193.99	$208.43	$309.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $614.64 / $913.17	Professional		$475.00	$614.64	$913.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $194.14 / $309.67	Professional	26	$140.00	$194.14	$309.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $406.20 / $603.50	Professional	TC	$335.00	$406.20	$603.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.44 / $286.44 / $286.44	Professional		$286.44	$286.44	$286.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.75 / $112.44 / $281.10	Professional	26	$89.75	$112.44	$281.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.00 / $1,018.00 / $1,018.00	Professional		$1,018.00	$1,018.00	$1,018.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.52 / $660.26 / $1,077.29	Professional		$307.52	$660.26	$1,077.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.84 / $205.18 / $257.36	Professional	26	$103.84	$205.18	$257.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.69 / $473.44 / $866.57	Professional	TC	$203.69	$473.44	$866.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $282.92	Professional		$32.34	$32.34	$282.92
United Facility/Professional Professional Modifier Low / Median / High Price $377.33 / $512.37 / $1,152.09	Professional		$377.33	$512.37	$1,152.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.22 / $144.84 / $259.85	Professional	26	$104.22	$144.84	$259.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.38 / $348.34 / $851.24	Professional	TC	$253.38	$348.34	$851.24