Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $346.74 / $416.87 / $912.01	Facility	26	$346.74	$416.87	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $5,011.87	Professional		$1,412.54	$2,041.74	$5,011.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $478.63 / $812.83	Professional	26	$346.74	$478.63	$812.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,047.13 / $1,513.56 / $2,238.72	Professional	TC	$1,047.13	$1,513.56	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $1,995.26	Professional		$1,412.54	$1,698.24	$1,995.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $316.23 / $398.11 / $549.54	Professional	26	$316.23	$398.11	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $3,715.35	Professional		$1,621.81	$2,818.38	$3,715.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $602.56 / $776.25	Professional	26	$354.81	$602.56	$776.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,148.15 / $2,238.72 / $2,951.21	Professional	TC	$1,148.15	$2,238.72	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $3,388.44	Professional		$1,380.38	$2,041.74	$3,388.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $338.84 / $467.74 / $812.83	Professional	26	$338.84	$467.74	$812.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,071.52 / $1,548.82 / $2,691.53	Professional	TC	$1,071.52	$1,548.82	$2,691.53