Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.38 / $425.65 / $891.28	Facility		$210.38	$425.65	$891.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.70 / $38.71 / $65.17	Facility	26	$34.70	$38.71	$65.17
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $160.03 / $274.64 / $986.42	Facility	TC	$160.03	$274.64	$986.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.73 / $230.69 / $363.35	Professional		$181.73	$230.69	$363.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.63 / $41.05 / $67.75	Professional	26	$30.63	$41.05	$67.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.80 / $169.96 / $274.64	Professional	TC	$151.80	$169.96	$274.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.43 / $144.44 / $180.42	Professional		$124.43	$144.44	$180.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.58 / $25.83 / $47.07	Professional	26	$23.58	$25.83	$47.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $113.67 / $113.67 / $113.67	Professional	TC	$113.67	$113.67	$113.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.43 / $252.77 / $2,186.00	Facility		$205.43	$252.77	$2,186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.53 / $259.33 / $345.78	Professional		$169.53	$259.33	$345.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.86 / $44.36 / $55.81	Professional	26	$30.86	$44.36	$55.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $138.72 / $209.55 / $283.99	Professional	TC	$138.72	$209.55	$283.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $116.42	Professional		$32.34	$32.34	$116.42
United Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $231.32 / $342.07	Professional		$165.05	$231.32	$342.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.14 / $39.36 / $60.41	Professional	26	$30.14	$39.36	$60.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.11 / $213.09 / $276.39	Professional	TC	$139.11	$213.09	$276.39