Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.34 / $224.71 / $376.96	Facility	26	$186.34	$224.71	$376.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.54 / $517.91 / $729.37	Professional		$360.54	$517.91	$729.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $186.34 / $224.71 / $381.11	Professional	26	$186.34	$224.71	$381.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.20 / $297.79 / $352.41	Professional	TC	$174.20	$297.79	$352.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.50 / $330.50 / $330.50	Professional		$330.50	$330.50	$330.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $166.20 / $207.75 / $519.38	Professional	26	$166.20	$207.75	$519.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $780.00 / $780.00	Professional		$780.00	$780.00	$780.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.93 / $667.15 / $915.13	Professional		$387.93	$667.15	$915.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $191.59 / $331.32 / $423.11	Professional	26	$191.59	$331.32	$423.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $196.35 / $333.69 / $500.66	Professional	TC	$196.35	$333.69	$500.66
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 $397.85 / $515.79 / $994.62	Professional		$397.85	$515.79	$994.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $185.94 / $250.28 / $548.58	Professional	26	$185.94	$250.28	$548.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $206.73 / $270.94 / $561.87	Professional	TC	$206.73	$270.94	$561.87