Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.16 / $250.69 / $319.20	Facility		$96.16	$250.69	$319.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.48 / $27.05 / $45.54	Facility	26	$24.48	$27.05	$45.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $133.71 / $212.46	Professional		$120.98	$133.71	$212.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.75 / $27.05 / $45.54	Professional	26	$21.75	$27.05	$45.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.21 / $106.95 / $166.92	Professional	TC	$91.21	$106.95	$166.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $17.57 / $53.18	Professional	26	$16.89	$17.57	$53.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.89 / $241.89 / $266.08	Facility		$241.89	$241.89	$266.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $215.00 / $215.00	Professional		$215.00	$215.00	$215.00
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 $106.91 / $165.80 / $215.21	Professional		$106.91	$165.80	$215.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.02 / $29.85 / $47.00	Professional	26	$22.02	$29.85	$47.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $84.83 / $125.68 / $185.01	Professional	TC	$84.83	$125.68	$185.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $71.26	Professional		$32.34	$32.34	$71.26
United Facility/Professional Professional Modifier Low / Median / High Price $104.92 / $149.84 / $212.26	Professional		$104.92	$149.84	$212.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.48 / $25.26 / $40.86	Professional	26	$21.48	$25.26	$40.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.00 / $118.27 / $184.05	Professional	TC	$83.00	$118.27	$184.05