Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $107.15 / $199.53	Facility	26	$83.18	$107.15	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $776.25	Professional		$275.42	$426.58	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $87.10 / $208.93	Professional	26	$67.61	$87.10	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $354.81 / $645.65	Professional	TC	$190.55	$354.81	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $67.61 / $123.03	Professional	26	$56.23	$67.61	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $575.44	Professional		$302.00	$380.19	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $74.13 / $109.65	Professional	26	$57.54	$74.13	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $309.03 / $467.74	Professional	TC	$245.47	$309.03	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $1,000.00	Professional		$478.63	$549.54	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $104.71 / $181.97	Professional	26	$83.18	$104.71	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $446.68 / $812.83	Professional	TC	$389.05	$446.68	$812.83
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 $354.81 / $478.63 / $741.31	Professional		$354.81	$478.63	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $87.10 / $151.36	Professional	26	$69.18	$87.10	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $380.19 / $588.84	Professional	TC	$275.42	$380.19	$588.84