Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.78 / $244.34 / $254.46	Facility	26	$125.78	$244.34	$254.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $419.34 / $709.44	Professional		$317.47	$419.34	$709.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.78 / $152.19 / $254.46	Professional	26	$125.78	$152.19	$254.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $267.14 / $454.97	Professional	TC	$185.65	$267.14	$454.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.46 / $112.46 / $140.58	Professional	26	$112.46	$112.46	$140.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $567.00 / $567.00	Professional		$567.00	$567.00	$567.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $516.12 / $632.65	Professional		$318.95	$516.12	$632.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.10 / $217.07 / $284.60	Professional	26	$129.10	$217.07	$284.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.87 / $296.48 / $368.28	Professional	TC	$193.87	$296.48	$368.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $322.16 / $417.56 / $736.27	Professional		$322.16	$417.56	$736.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $128.29 / $177.74 / $334.95	Professional	26	$128.29	$177.74	$334.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.26 / $257.27 / $456.05	Professional	TC	$178.26	$257.27	$456.05