Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $283.72 / $295.68 / $570.20	Facility	26	$283.72	$295.68	$570.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.82 / $1,101.49 / $1,987.03	Professional		$1,012.82	$1,101.49	$1,987.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $268.22 / $289.42 / $570.20	Professional	26	$268.22	$289.42	$570.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $728.19 / $805.80 / $1,416.83	Professional	TC	$728.19	$805.80	$1,416.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $339.09 / $339.09 / $339.09	Professional	26	$339.09	$339.09	$339.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,159.00 / $2,159.00 / $2,159.00	Professional		$2,159.00	$2,159.00	$2,159.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.64 / $1,481.01 / $2,152.35	Professional		$960.64	$1,481.01	$2,152.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $297.22 / $467.18 / $646.51	Professional	26	$297.22	$467.18	$646.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $663.41 / $1,045.32 / $1,455.69	Professional	TC	$663.41	$1,045.32	$1,455.69
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 $955.49 / $1,210.83 / $2,786.82	Professional		$955.49	$1,210.83	$2,786.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $281.08 / $363.67 / $837.38	Professional	26	$281.08	$363.67	$837.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $674.40 / $819.45 / $1,924.58	Professional	TC	$674.40	$819.45	$1,924.58