Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.54 / $118.70 / $176.35	Facility	26	$109.54	$118.70	$176.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.14 / $475.00 / $569.23	Professional		$383.14	$475.00	$569.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.55 / $140.00 / $176.35	Professional	26	$109.55	$140.00	$176.35
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $191.57 / $237.50 / $284.62	Professional	52	$191.57	$237.50	$284.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.44 / $335.00 / $392.89	Professional	TC	$264.44	$335.00	$392.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $455.42 / $472.98	Professional		$155.08	$455.42	$472.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.05 / $64.55 / $158.93	Professional	26	$51.05	$64.55	$158.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $112.97 / $112.97 / $112.97	Professional	TC	$112.97	$112.97	$112.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.15 / $555.15 / $555.15	Professional		$555.15	$555.15	$555.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.27 / $529.52 / $872.72	Professional		$193.27	$529.52	$872.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.00 / $113.35 / $143.82	Professional	26	$59.00	$113.35	$143.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.27 / $400.53 / $731.63	Professional	TC	$134.27	$400.53	$731.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $178.21	Professional		$32.34	$32.34	$178.21
United Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $360.10 / $877.20	Professional		$243.28	$360.10	$877.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.12 / $85.06 / $152.22	Professional	26	$60.12	$85.06	$152.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.86 / $273.33 / $772.80	Professional	TC	$169.86	$273.33	$772.80