Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $304.26 / $627.59	Facility		$200.00	$304.26	$627.59
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.06 / $84.06 / $84.06	Facility	26	$84.06	$84.06	$84.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.88 / $258.86 / $287.14	Professional		$113.88	$258.86	$287.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.86 / $121.72 / $135.02	Professional	26	$53.86	$121.72	$135.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.02 / $137.13 / $152.13	Professional	TC	$60.02	$137.13	$152.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $92.59 / $474.08	Professional		$92.59	$92.59	$474.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $39.76 / $199.27	Professional	26	$34.97	$39.76	$199.27
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $84.00 / $84.00 / $84.00	Professional	TC	$84.00	$84.00	$84.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $202.44 / $202.44	Professional		$202.44	$202.44	$202.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $127.18 / $253.91	Professional		$70.66	$127.18	$253.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.08 / $77.20 / $140.38	Professional	26	$32.08	$77.20	$140.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $64.01 / $127.46	Professional	TC	$35.56	$64.01	$127.46
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 $84.35 / $157.35 / $295.43	Professional		$84.35	$157.35	$295.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.81 / $79.94 / $158.50	Professional	26	$42.81	$79.94	$158.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.03 / $83.37 / $145.02	Professional	TC	$42.03	$83.37	$145.02