Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.63 / $425.24 / $784.76	Professional		$318.63	$425.24	$784.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.30 / $150.49 / $277.73	Professional	26	$111.30	$150.49	$277.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $207.33 / $274.75 / $507.04	Professional	TC	$207.33	$274.75	$507.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $229.40 / $1,174.56	Professional		$229.40	$229.40	$1,174.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.36 / $80.31 / $411.17	Professional	26	$72.36	$80.31	$411.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.99 / $440.99 / $440.99	Professional		$440.99	$440.99	$440.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.53 / $341.70 / $682.34	Professional		$149.53	$341.70	$682.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.09 / $159.09 / $289.25	Professional	26	$66.09	$159.09	$289.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.52 / $211.54 / $412.19	Professional	TC	$117.52	$211.54	$412.19
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 $227.80 / $407.81 / $684.26	Professional		$227.80	$407.81	$684.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.99 / $165.40 / $313.58	Professional	26	$87.99	$165.40	$313.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.02 / $275.00 / $467.50	Professional	TC	$141.02	$275.00	$467.50