Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $288.40	Facility		$144.54	$144.54	$288.40
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	TC	$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $512.86	Professional		$190.55	$275.42	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $281.84	Professional	26	$58.88	$85.11	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $190.55 / $354.81	Professional	TC	$138.04	$190.55	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $794.33	Professional		$138.04	$151.36	$794.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $48.98 / $234.42	Professional	26	$36.31	$48.98	$234.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	TC	$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $457.09	Professional		$107.15	$229.09	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $91.20 / $165.96	Professional	26	$37.15	$91.20	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $151.36 / $295.12	Professional	TC	$83.18	$151.36	$295.12
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 $147.91 / $281.84 / $446.68	Professional		$147.91	$281.84	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $87.10 / $169.82	Professional	26	$50.12	$87.10	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $177.83 / $309.03	Professional	TC	$100.00	$177.83	$309.03