Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $50.12 / $72.44	Facility	26	$39.81	$50.12	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $562.34	Professional		$128.82	$181.97	$562.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $52.48 / $151.36	Professional	26	$39.81	$52.48	$151.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	52	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $114.82 / $229.09	Professional	TC	$91.20	$114.82	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $257.04	Professional		$117.49	$144.54	$257.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $43.65 / $67.61	Professional	26	$35.48	$43.65	$67.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $83.18 / $83.18	Professional	TC	$83.18	$83.18	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $218.78	Professional		$107.15	$154.88	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $47.86 / $67.61	Professional	26	$34.67	$47.86	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $104.71 / $144.54	Professional	TC	$72.44	$104.71	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $316.23	Professional		$147.91	$194.98	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $58.88 / $97.72	Professional	26	$45.71	$58.88	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $138.04 / $218.78	Professional	TC	$109.65	$138.04	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $316.23	Professional		$154.88	$190.55	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $58.88 / $95.50	Professional	26	$45.71	$58.88	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $134.90 / $223.87	Professional	TC	$109.65	$134.90	$223.87