Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $407.38 / $549.54	Facility		$186.21	$407.38	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $69.18	Facility	26	$39.81	$39.81	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $371.54	Professional		$165.96	$199.53	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $43.65 / $81.28	Professional	26	$33.88	$43.65	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $162.18 / $288.40	Professional	TC	$128.82	$162.18	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $181.97	Professional		$112.20	$141.25	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $39.81 / $51.29	Professional	26	$30.20	$39.81	$51.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $109.65 / $123.03	Professional	TC	$109.65	$109.65	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $251.19 / $3,467.37	Facility		$204.17	$251.19	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $346.74	Professional		$162.18	$245.47	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $45.71 / $72.44	Professional	26	$34.67	$45.71	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $194.98 / $309.03	Professional	TC	$128.82	$194.98	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $426.58 / $630.96	Facility		$269.15	$426.58	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $323.59	Professional		$158.49	$199.53	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $40.74 / $60.26	Professional	26	$33.88	$40.74	$60.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $158.49 / $263.03	Professional	TC	$123.03	$158.49	$263.03