Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.19 / $184.97 / $274.81	Facility	26	$172.19	$184.97	$274.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $528.32 / $788.60	Professional		$475.00	$528.32	$788.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.98 / $172.20 / $274.81	Professional	26	$101.98	$172.20	$274.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $237.50 / $265.39 / $394.30	Professional	52	$237.50	$265.39	$394.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $356.12 / $513.79	Professional	TC	$335.00	$356.12	$513.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.50 / $278.13 / $639.70	Professional		$222.50	$278.13	$639.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.92 / $101.57 / $249.75	Professional	26	$79.92	$101.57	$249.75
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $126.23 / $149.74 / $157.79	Professional	TC	$126.23	$149.74	$157.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $878.33 / $878.33 / $878.33	Professional		$878.33	$878.33	$878.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $604.22 / $1,413.59	Professional		$269.14	$604.22	$1,413.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.04 / $183.10 / $226.37	Professional	26	$92.04	$183.10	$226.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.12 / $405.70 / $1,220.52	Professional	TC	$177.12	$405.70	$1,220.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $250.32	Professional		$32.34	$32.34	$250.32
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $475.11 / $1,569.17	Professional		$327.60	$475.11	$1,569.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.83 / $129.02 / $237.45	Professional	26	$93.83	$129.02	$237.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $216.63 / $304.02 / $1,184.44	Professional	TC	$216.63	$304.02	$1,184.44