Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.93 / $177.09 / $225.87	Facility	26	$93.93	$177.09	$225.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $475.00 / $697.93	Professional		$313.02	$475.00	$697.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.94 / $154.00 / $225.87	Professional	26	$93.94	$154.00	$225.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.98 / $335.00 / $472.06	Professional	TC	$214.98	$335.00	$472.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $684.18 / $684.18	Professional		$233.07	$684.18	$684.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.40 / $100.50 / $251.25	Professional	26	$80.40	$100.50	$251.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.00 / $782.00 / $782.00	Professional		$782.00	$782.00	$782.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.32 / $574.12 / $759.29	Professional		$289.32	$574.12	$759.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.60 / $179.68 / $225.32	Professional	26	$92.60	$179.68	$225.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $196.71 / $403.82 / $527.77	Professional	TC	$196.71	$403.82	$527.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $267.72	Professional		$32.34	$32.34	$267.72
United Facility/Professional Professional Modifier Low / Median / High Price $356.07 / $551.04 / $1,456.75	Professional		$356.07	$551.04	$1,456.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.27 / $122.02 / $195.13	Professional	26	$67.27	$122.02	$195.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.74 / $400.67 / $1,268.78	Professional	TC	$244.74	$400.67	$1,268.78