Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $213.80	Facility	26	$194.98	$194.98	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $562.34	Professional		$257.04	$331.13	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $194.98 / $398.11	Professional	26	$165.96	$194.98	$398.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $114.82 / $165.96	Professional	TC	$93.33	$114.82	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $380.19	Professional		$257.04	$288.40	$380.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $190.55 / $229.09	Professional	26	$165.96	$190.55	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $575.44	Professional		$275.42	$426.58	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $269.15 / $363.08	Professional	26	$181.97	$269.15	$363.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $147.91 / $208.93	Professional	TC	$95.50	$147.91	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $489.78	Professional		$269.15	$346.74	$489.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $218.78 / $323.59	Professional	26	$169.82	$218.78	$323.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $125.89 / $181.97	Professional	TC	$95.50	$125.89	$181.97