Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.30 / $34.83 / $68.36	Facility	26	$28.30	$34.83	$68.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $131.41 / $223.00	Professional		$100.22	$131.41	$223.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.60 / $43.83 / $70.09	Professional	26	$28.60	$43.83	$70.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $50.11 / $72.48 / $115.73	Professional	52	$50.11	$72.48	$115.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.91 / $103.89 / $163.09	Professional	TC	$71.91	$103.89	$163.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.36 / $85.38 / $123.81	Professional		$80.36	$85.38	$123.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.04 / $25.70 / $59.04	Professional	26	$24.04	$25.70	$59.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $66.84 / $78.65 / $78.65	Professional	TC	$66.84	$78.65	$78.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $142.00 / $142.00	Professional		$142.00	$142.00	$142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $148.90 / $235.43	Professional		$86.53	$148.90	$235.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.87 / $46.41 / $66.37	Professional	26	$27.87	$46.41	$66.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.28 / $103.68 / $167.03	Professional	TC	$62.28	$103.68	$167.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $65.48	Professional		$32.34	$32.34	$65.48
United Facility/Professional Professional Modifier Low / Median / High Price $89.56 / $125.23 / $212.89	Professional		$89.56	$125.23	$212.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.39 / $37.85 / $68.29	Professional	26	$27.39	$37.85	$68.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.38 / $85.48 / $137.21	Professional	TC	$61.38	$85.48	$137.21