Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $109.65 / $223.87	Facility	26	$85.11	$109.65	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $1,174.90	Professional		$229.09	$323.59	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $109.65 / $380.19	Professional	26	$77.62	$109.65	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $173.78 / $288.40	Professional	TC	$144.54	$173.78	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $371.54	Professional		$194.98	$204.17	$371.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $87.10 / $100.00	Professional	26	$77.62	$87.10	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $457.09	Professional		$229.09	$316.23	$457.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $117.49 / $177.83	Professional	26	$83.18	$117.49	$177.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $186.21 / $269.15	Professional	TC	$147.91	$186.21	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $512.86	Professional		$245.47	$323.59	$512.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $120.23 / $181.97	Professional	26	$91.20	$120.23	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $194.98 / $316.23	Professional	TC	$147.91	$194.98	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $436.52	Professional		$204.17	$257.04	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $97.72 / $169.82	Professional	26	$75.86	$97.72	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $158.49 / $263.03	Professional	TC	$128.82	$158.49	$263.03