Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $776.25	Professional		$295.12	$446.68	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $151.36 / $263.03	Professional	26	$97.72	$151.36	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $288.40 / $489.78	Professional	TC	$194.98	$288.40	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $229.09	Professional		$199.53	$229.09	$229.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $89.13 / $407.38	Professional	26	$66.07	$89.13	$407.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $131.83 / $131.83	Professional	TC	$131.83	$131.83	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $338.84 / $707.95	Professional		$147.91	$338.84	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $158.49 / $288.40	Professional	26	$66.07	$158.49	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $213.80 / $416.87	Professional	TC	$117.49	$213.80	$416.87
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 $229.09 / $426.58 / $691.83	Professional		$229.09	$426.58	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $151.36 / $263.03	Professional	26	$87.10	$151.36	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $251.19 / $436.52	Professional	TC	$141.25	$251.19	$436.52