Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.36 / $106.48 / $143.74	Facility	26	$78.36	$106.48	$143.74
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.89 / $33.49 / $59.05	Facility	53	$21.89	$33.49	$59.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $323.88 / $475.00	Professional		$275.00	$323.88	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.75 / $106.48 / $141.00	Professional	26	$68.75	$106.48	$141.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $137.50 / $147.62 / $212.50	Professional	52	$137.50	$147.62	$212.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $188.74 / $206.25 / $340.00	Professional	TC	$188.74	$206.25	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $171.64 / $229.90	Professional		$130.36	$171.64	$229.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.26 / $70.47 / $84.89	Professional	26	$51.26	$70.47	$84.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.33 / $238.58 / $511.86	Professional		$158.33	$238.58	$511.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.93 / $160.18 / $189.01	Professional	26	$116.93	$160.18	$189.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $99.86 / $150.47 / $322.85	Professional	TC	$99.86	$150.47	$322.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.03 / $383.70 / $837.97	Professional		$163.03	$383.70	$837.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.26 / $99.80 / $206.60	Professional	26	$56.26	$99.80	$206.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.36 / $255.23 / $712.89	Professional	TC	$106.36	$255.23	$712.89
United Facility/Professional Professional Modifier Low / Median / High Price $174.51 / $246.11 / $706.41	Professional		$174.51	$246.11	$706.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.76 / $73.09 / $101.01	Professional	26	$57.76	$73.09	$101.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $115.87 / $150.49 / $618.51	Professional	TC	$115.87	$150.49	$618.51