Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.04 / $267.83 / $1,150.00	Facility		$141.04	$267.83	$1,150.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.97 / $38.97 / $74.03	Facility	26	$38.97	$38.97	$74.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $211.81 / $267.83	Professional		$142.47	$211.81	$267.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $55.46 / $74.03	Professional	26	$39.19	$55.46	$74.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.09 / $156.36 / $193.81	Professional	TC	$103.09	$156.36	$193.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $102.33 / $127.92	Professional		$95.00	$102.33	$127.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.48 / $46.46 / $89.20	Professional	26	$41.48	$46.46	$89.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $224.00 / $224.00	Professional		$224.00	$224.00	$224.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.71 / $118.71 / $307.14	Facility		$118.71	$118.71	$307.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $256.00 / $335.63	Professional		$130.25	$256.00	$335.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.04 / $78.83 / $101.20	Professional	26	$39.04	$78.83	$101.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $172.81 / $243.97	Professional	TC	$91.20	$172.81	$243.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $148.51 / $193.61 / $308.14	Professional		$148.51	$193.61	$308.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $59.63 / $92.46	Professional	26	$37.15	$59.63	$92.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.00 / $151.57 / $216.95	Professional	TC	$108.00	$151.57	$216.95