Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.71 / $144.09 / $214.08	Facility	26	$133.71	$144.09	$214.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.51 / $475.00 / $666.06	Professional		$446.51	$475.00	$666.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $133.72 / $144.09 / $214.08	Professional	26	$133.72	$144.09	$214.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $223.26 / $237.50 / $333.03	Professional	52	$223.26	$237.50	$333.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $304.22 / $335.00 / $451.98	Professional	TC	$304.22	$335.00	$451.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $541.21 / $541.21 / $541.21	Professional		$541.21	$541.21	$541.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.52 / $77.48 / $193.70	Professional	26	$63.52	$77.48	$193.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $132.58 / $132.58 / $132.58	Professional	TC	$132.58	$132.58	$132.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Professional		$870.00	$870.00	$870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.15 / $511.14 / $982.54	Professional		$228.15	$511.14	$982.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.70 / $139.04 / $175.52	Professional	26	$71.70	$139.04	$175.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.44 / $356.02 / $813.74	Professional	TC	$156.44	$356.02	$813.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $211.78	Professional		$32.34	$32.34	$211.78
United Facility/Professional Professional Modifier Low / Median / High Price $276.38 / $389.03 / $1,049.43	Professional		$276.38	$389.03	$1,049.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.52 / $102.24 / $179.94	Professional	26	$73.52	$102.24	$179.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.06 / $299.02 / $790.22	Professional	TC	$190.06	$299.02	$790.22