Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.17 / $120.42 / $178.90	Facility	26	$111.17	$120.42	$178.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.79 / $474.06 / $600.00	Professional		$229.79	$474.06	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.68 / $140.00 / $178.90	Professional	26	$67.68	$140.00	$178.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $157.81 / $202.39 / $237.50	Professional	52	$157.81	$202.39	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.66 / $295.16 / $368.50	Professional	TC	$198.66	$295.16	$368.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $167.24 / $279.39	Professional		$133.79	$167.24	$279.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $64.48 / $125.95	Professional	26	$51.59	$64.48	$125.95
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $384.65 / $384.65 / $384.65	Professional	52	$384.65	$384.65	$384.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $86.30 / $86.30 / $86.30	Professional	TC	$86.30	$86.30	$86.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.63 / $500.63 / $500.63	Professional		$500.63	$500.63	$500.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.93 / $382.63 / $814.50	Professional		$161.93	$382.63	$814.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.87 / $115.04 / $146.21	Professional	26	$59.87	$115.04	$146.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.06 / $242.24 / $699.46	Professional	TC	$102.06	$242.24	$699.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $150.52	Professional		$32.34	$32.34	$150.52
United Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $269.00 / $826.46	Professional		$187.74	$269.00	$826.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.12 / $86.29 / $169.18	Professional	26	$61.12	$86.29	$169.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.76 / $173.66 / $688.73	Professional	TC	$123.76	$173.66	$688.73