Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $758.58	Professional		$281.84	$346.74	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $251.19 / $776.25	Professional	26	$107.15	$251.19	$776.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $223.87 / $457.09	Professional	TC	$194.98	$223.87	$457.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $144.54 / $151.36	Professional	26	$66.07	$144.54	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $389.05 / $416.87	Professional		$138.04	$389.05	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $141.25 / $275.42	Professional	26	$131.83	$141.25	$275.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $257.04 / $275.42	Professional	TC	$9.12	$257.04	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $457.09	Professional		$123.03	$204.17	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $74.13 / $181.97	Professional	26	$61.66	$74.13	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $128.82 / $309.03	Professional	TC	$60.26	$128.82	$309.03
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 $199.53 / $288.40 / $691.83	Professional		$199.53	$288.40	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $128.82 / $309.03	Professional	26	$81.28	$128.82	$309.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $173.78 / $389.05	Professional	TC	$117.49	$173.78	$389.05