Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.81 / $196.86 / $234.93	Facility		$194.81	$196.86	$234.93
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.64 / $45.64 / $45.64	Facility	26	$45.64	$45.64	$45.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $134.71 / $234.94	Professional		$113.82	$134.71	$234.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $24.21 / $45.64	Professional	26	$11.77	$24.21	$45.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.29 / $112.26 / $189.29	Professional	TC	$96.29	$112.26	$189.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.23 / $20.94 / $52.35	Professional	26	$19.23	$20.94	$52.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $274.00 / $274.00	Professional		$99.00	$274.00	$274.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.11 / $106.11 / $106.11	Facility		$106.11	$106.11	$106.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $196.46 / $289.92	Professional		$136.88	$196.46	$289.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $23.96 / $46.89	Professional	26	$15.14	$23.96	$46.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $113.44 / $164.41 / $254.20	Professional	TC	$113.44	$164.41	$254.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $90.71	Professional		$32.34	$32.34	$90.71
United Facility/Professional Professional Modifier Low / Median / High Price $129.74 / $166.35 / $269.33	Professional		$129.74	$166.35	$269.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.28 / $23.57 / $40.76	Professional	26	$14.28	$23.57	$40.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.42 / $139.79 / $234.27	Professional	TC	$108.42	$139.79	$234.27