Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $281.84	Facility	26	$95.50	$95.50	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $933.25	Professional		$338.84	$398.11	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $109.65 / $275.42	Professional	26	$97.72	$109.65	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $281.84 / $660.69	Professional	TC	$229.09	$281.84	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $354.81	Professional		$275.42	$316.23	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $117.49 / $208.93	Professional	26	$93.33	$117.49	$208.93
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	52	$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $660.69	Professional		$309.03	$489.78	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $173.78 / $245.47	Professional	26	$102.33	$173.78	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $331.13 / $436.52	Professional	TC	$204.17	$331.13	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $724.44	Professional		$288.40	$389.05	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $144.54 / $257.04	Professional	26	$97.72	$144.54	$257.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $257.04 / $501.19	Professional	TC	$194.98	$257.04	$501.19