Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $298.01 / $1,394.70	Facility		$101.12	$298.01	$1,394.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.14 / $76.98 / $169.05	Facility	26	$69.14	$76.98	$169.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $221.12 / $270.62	Professional		$135.55	$221.12	$270.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $69.14 / $151.38	Professional	26	$48.86	$69.14	$151.38
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $64.30 / $110.56 / $149.01	Professional	52	$64.30	$110.56	$149.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.73 / $128.97 / $202.54	Professional	TC	$58.73	$128.97	$202.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.13 / $186.18 / $186.18	Professional	26	$79.13	$186.18	$186.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,282.16 / $4,282.16 / $4,710.38	Facility		$4,282.16	$4,282.16	$4,710.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.00 / $553.00 / $553.00	Professional		$553.00	$553.00	$553.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.17 / $2,555.73 / $4,452.39	Facility		$273.17	$2,555.73	$4,452.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.61 / $274.25 / $565.23	Professional		$123.61	$274.25	$565.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.93 / $91.09 / $145.88	Professional	26	$56.93	$91.09	$145.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.35 / $141.72 / $474.56	Professional	TC	$55.35	$141.72	$474.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $117.08	Professional		$32.34	$32.34	$117.08
United Facility/Professional Professional Modifier Low / Median / High Price $147.43 / $199.86 / $571.48	Professional		$147.43	$199.86	$571.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.94 / $84.00 / $123.79	Professional	26	$47.94	$84.00	$123.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.44 / $110.14 / $462.16	Professional	TC	$68.44	$110.14	$462.16