Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.42 / $48.42 / $103.79	Facility	26	$48.42	$48.42	$103.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $135.69 / $171.08	Professional		$106.14	$135.69	$171.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.53 / $38.90 / $65.38	Professional	26	$31.53	$38.90	$65.38
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.32 / $88.50 / $157.80	Professional	52	$18.32	$88.50	$157.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.89 / $96.79 / $129.94	Professional	TC	$74.89	$96.79	$129.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $96.25 / $188.63	Professional		$87.68	$96.25	$188.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.56 / $36.61 / $43.99	Professional	26	$26.56	$36.61	$43.99
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $23.88 / $83.57 / $83.57	Professional	52	$23.88	$83.57	$83.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $66.31 / $66.31 / $66.31	Professional	TC	$66.31	$66.31	$66.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $143.00 / $168.74	Professional		$104.39	$143.00	$168.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.38 / $41.62 / $49.11	Professional	26	$30.38	$41.62	$49.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.01 / $101.38 / $119.63	Professional	TC	$74.01	$101.38	$119.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $143.25 / $243.26	Professional		$88.77	$143.25	$243.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.96 / $46.67 / $72.04	Professional	26	$28.96	$46.67	$72.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.12 / $112.30 / $191.10	Professional	TC	$70.12	$112.30	$191.10
United Facility/Professional Professional Modifier Low / Median / High Price $106.03 / $136.63 / $186.08	Professional		$106.03	$136.63	$186.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.29 / $38.44 / $49.74	Professional	26	$30.29	$38.44	$49.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.98 / $95.58 / $132.30	Professional	TC	$76.98	$95.58	$132.30