Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $79.43 / $117.49	Facility	26	$64.57	$79.43	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $1,318.26	Professional		$354.81	$630.96	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $269.15	Professional	26	$64.57	$79.43	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $371.54 / $724.44	Professional	TC	$288.40	$371.54	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $630.96	Professional		$302.00	$416.87	$630.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $74.13 / $117.49	Professional	26	$58.88	$74.13	$117.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $323.59 / $426.58	Professional	TC	$309.03	$323.59	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $1,445.44	Professional		$416.87	$562.34	$1,445.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $102.33 / $309.03	Professional	26	$75.86	$102.33	$309.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $457.09 / $831.76	Professional	TC	$338.84	$457.09	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,047.13	Professional		$446.68	$588.84	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $186.21	Professional	26	$79.43	$107.15	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $489.78 / $851.14	Professional	TC	$363.08	$489.78	$851.14
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 $407.38 / $537.03 / $1,000.00	Professional		$407.38	$537.03	$1,000.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $102.33 / $194.98	Professional	26	$72.44	$102.33	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $436.52 / $776.25	Professional	TC	$338.84	$436.52	$776.25