Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.34 / $327.94 / $545.10	Facility		$187.34	$327.94	$545.10
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.72 / $44.05 / $74.15	Facility	26	$39.72	$44.05	$74.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.93 / $204.21 / $327.95	Professional		$174.93	$204.21	$327.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.90 / $44.05 / $74.15	Professional	26	$33.90	$44.05	$74.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.60 / $169.96 / $253.80	Professional	TC	$147.60	$169.96	$253.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $141.97 / $151.69	Professional		$141.97	$141.97	$151.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.92 / $39.11 / $40.51	Professional	26	$34.92	$39.11	$40.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $312.00 / $312.00	Professional		$312.00	$312.00	$312.00
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 $164.73 / $248.47 / $343.62	Professional		$164.73	$248.47	$343.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.18 / $45.82 / $75.34	Professional	26	$35.18	$45.82	$75.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.44 / $194.26 / $266.92	Professional	TC	$128.44	$194.26	$266.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $107.64	Professional		$32.34	$32.34	$107.64
United Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $225.07 / $323.33	Professional		$159.36	$225.07	$323.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.36 / $40.42 / $66.67	Professional	26	$34.36	$40.42	$66.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $125.81 / $182.84 / $263.45	Professional	TC	$125.81	$182.84	$263.45