Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.81 / $145.81 / $286.01	Facility		$145.81	$145.81	$286.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $432.77 / $432.77 / $432.77	Facility	TC	$432.77	$432.77	$432.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.43 / $278.61 / $513.55	Professional		$208.43	$278.61	$513.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.06 / $142.38 / $296.24	Professional	26	$63.06	$142.38	$296.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $145.37 / $197.39 / $355.61	Professional	TC	$145.37	$197.39	$355.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.91 / $152.77 / $782.18	Professional		$123.91	$152.77	$782.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.53 / $49.17 / $182.13	Professional	26	$45.53	$49.17	$182.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $107.24 / $107.24 / $107.24	Professional	TC	$107.24	$107.24	$107.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.47 / $336.47 / $336.47	Professional		$336.47	$336.47	$336.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $231.13 / $446.78	Professional		$106.72	$231.13	$446.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.61 / $90.25 / $164.09	Professional	26	$37.61	$90.25	$164.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.23 / $149.81 / $296.27	Professional	TC	$83.23	$149.81	$296.27
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 $149.10 / $281.50 / $478.55	Professional		$149.10	$281.50	$478.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.72 / $93.82 / $205.10	Professional	26	$49.72	$93.82	$205.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.88 / $194.88 / $331.30	Professional	TC	$99.88	$194.88	$331.30