Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $223.87 / $446.68	Facility	26	$186.21	$223.87	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $1,174.90	Professional		$363.08	$512.86	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $263.03 / $436.52	Professional	26	$186.21	$263.03	$436.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $251.19 / $371.54	Professional	TC	$173.78	$251.19	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $489.78	Professional		$346.74	$446.68	$489.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $213.80 / $295.12	Professional	26	$169.82	$213.80	$295.12
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 $389.05 / $676.08 / $933.25	Professional		$389.05	$676.08	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $331.13 / $426.58	Professional	26	$190.55	$331.13	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $354.81 / $512.86	Professional	TC	$194.98	$354.81	$512.86
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 $380.19 / $512.86 / $912.01	Professional		$380.19	$512.86	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $251.19 / $467.74	Professional	26	$190.55	$251.19	$467.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $269.15 / $457.09	Professional	TC	$199.53	$269.15	$457.09