Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.05 / $234.24 / $818.81	Facility		$129.05	$234.24	$818.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.14 / $26.70 / $44.95	Facility	26	$24.14	$26.70	$44.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.99 / $139.15 / $234.24	Professional		$111.99	$139.15	$234.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $24.80 / $44.95	Professional	26	$20.29	$24.80	$44.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $102.26 / $113.45 / $189.29	Professional	TC	$102.26	$113.45	$189.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $105.01 / $178.14	Professional		$94.60	$105.01	$178.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.46 / $20.75 / $40.53	Professional	26	$16.46	$20.75	$40.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $78.86 / $78.86 / $93.85	Professional	TC	$78.86	$78.86	$93.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $194.00 / $194.00	Professional		$194.00	$194.00	$194.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $153.08 / $2,186.00	Facility		$97.20	$153.08	$2,186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $190.38 / $265.47	Professional		$130.09	$190.38	$265.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.53 / $29.14 / $35.31	Professional	26	$21.53	$29.14	$35.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.75 / $164.14 / $234.24	Professional	TC	$108.75	$164.14	$234.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $91.32	Professional		$32.34	$32.34	$91.32
United Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $183.62 / $262.63	Professional		$125.48	$183.62	$262.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.00 / $24.90 / $40.53	Professional	26	$21.00	$24.90	$40.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $106.34 / $164.14 / $228.51	Professional	TC	$106.34	$164.14	$228.51