Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $250.60 / $250.60 / $250.60	Facility	TC	$250.60	$250.60	$250.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.48 / $237.47 / $391.51	Professional		$226.48	$237.47	$391.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.84 / $124.87 / $205.87	Professional	26	$118.84	$124.87	$205.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $107.64 / $112.60 / $185.63	Professional	TC	$107.64	$112.60	$185.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $99.56 / $99.56 / $99.56	Professional	26	$99.56	$99.56	$99.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,241.00 / $1,241.00 / $1,241.00	Professional		$1,241.00	$1,241.00	$1,241.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $413.91	Professional		$326.16	$326.16	$413.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $154.34	Professional	26	$153.56	$153.56	$154.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $172.60	Professional	TC	$172.60	$172.60	$172.60
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 $278.32 / $404.42 / $986.12	Professional		$278.32	$404.42	$986.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.06 / $204.05 / $458.38	Professional	26	$106.06	$204.05	$458.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.91 / $213.26 / $554.85	Professional	TC	$129.91	$213.26	$554.85