Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $123.03 / $123.03	Facility	26	$70.79	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $478.63	Professional		$194.98	$234.42	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $77.62 / $158.49	Professional	26	$64.57	$77.62	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $158.49 / $288.40	Professional	TC	$128.82	$158.49	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $69.18	Professional	26	$60.26	$60.26	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $478.63	Professional		$186.21	$363.08	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $117.49 / $158.49	Professional	26	$57.54	$117.49	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $229.09 / $316.23	Professional	TC	$120.23	$229.09	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $436.52 / $1,412.54	Professional		$223.87	$436.52	$1,412.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $87.10 / $154.88	Professional	26	$63.10	$87.10	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $316.23 / $1,288.25	Professional	TC	$147.91	$316.23	$1,288.25