Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $196.09 / $213.28 / $359.02	Facility	26	$196.09	$213.28	$359.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.68 / $326.44 / $544.78	Professional		$281.68	$326.44	$544.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $171.18 / $196.59 / $359.02	Professional	26	$171.18	$196.59	$359.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.74 / $121.92 / $185.76	Professional	TC	$103.74	$121.92	$185.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.28 / $313.54 / $576.91	Professional		$233.28	$313.54	$576.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $155.91 / $218.29 / $419.15	Professional	26	$155.91	$218.29	$419.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.00 / $488.00 / $488.00	Professional		$488.00	$488.00	$488.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $423.55 / $523.63	Professional		$265.16	$423.55	$523.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $173.23 / $270.86 / $342.75	Professional	26	$173.23	$270.86	$342.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $91.93 / $148.38 / $194.62	Professional	TC	$91.93	$148.38	$194.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $225.75	Professional		$32.34	$32.34	$225.75
United Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $363.13 / $558.66	Professional		$275.79	$363.13	$558.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $169.23 / $218.91 / $335.35	Professional	26	$169.23	$218.91	$335.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.16 / $125.91 / $195.72	Professional	TC	$96.16	$125.91	$195.72