Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $208.93 / $309.03	Facility	26	$194.98	$208.93	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $933.25	Professional		$380.19	$562.34	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $194.98 / $407.38	Professional	26	$117.49	$194.98	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $389.05 / $741.31	Professional	TC	$251.19	$389.05	$741.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $128.82 / $281.84	Professional	26	$114.82	$128.82	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $645.65 / $1,071.52	Professional		$309.03	$645.65	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $186.21 / $257.04	Professional	26	$93.33	$186.21	$257.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $436.52 / $870.96	Professional	TC	$204.17	$436.52	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $1,071.52	Professional		$354.81	$478.63	$1,071.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $141.25 / $257.04	Professional	26	$104.71	$141.25	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $323.59 / $912.01	Professional	TC	$245.47	$323.59	$912.01