Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.67 / $119.91 / $178.15	Facility	26	$110.67	$119.91	$178.15
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.21 / $61.15 / $96.78	Facility	53	$52.21	$61.15	$96.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.87 / $475.00 / $522.50	Professional		$321.87	$475.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.06 / $140.00 / $178.15	Professional	26	$66.06	$140.00	$178.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $160.94 / $206.59 / $241.96	Professional	52	$160.94	$206.59	$241.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.80 / $305.76 / $362.89	Professional	TC	$205.80	$305.76	$362.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $171.64 / $394.77	Professional		$137.32	$171.64	$394.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.37 / $64.22 / $121.13	Professional	26	$51.37	$64.22	$121.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $90.24 / $90.24 / $90.24	Professional	TC	$90.24	$90.24	$90.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.93 / $479.93 / $479.93	Professional		$479.93	$479.93	$479.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $395.11 / $878.53	Professional		$165.96	$395.11	$878.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.60 / $115.04 / $146.21	Professional	26	$59.60	$115.04	$146.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.36 / $245.82 / $737.09	Professional	TC	$106.36	$245.82	$737.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $154.47	Professional		$32.34	$32.34	$154.47
United Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $290.33 / $935.34	Professional		$200.49	$290.33	$935.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.92 / $84.59 / $152.30	Professional	26	$60.92	$84.59	$152.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.58 / $180.59 / $632.11	Professional	TC	$128.58	$180.59	$632.11