Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.25 / $34.04 / $75.00	Facility	26	$31.25	$34.04	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $147.29 / $245.93	Professional		$106.14	$147.29	$245.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.25 / $35.43 / $74.76	Professional	26	$31.25	$35.43	$74.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.40 / $66.06 / $66.06	Professional	52	$23.40	$66.06	$66.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.89 / $109.71 / $171.17	Professional	TC	$74.89	$109.71	$171.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $90.86 / $252.10	Professional		$87.68	$90.86	$252.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.63 / $33.29 / $62.87	Professional	26	$26.63	$33.29	$62.87
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $25.12 / $252.10 / $252.10	Professional	52	$25.12	$252.10	$252.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Professional		$176.00	$176.00	$176.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.92 / $171.85 / $256.94	Professional		$104.92	$171.85	$256.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.67 / $54.41 / $74.75	Professional	26	$30.67	$54.41	$74.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.25 / $129.34 / $181.71	Professional	TC	$74.25	$129.34	$181.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $32.34 / $98.64	Professional		$30.08	$32.34	$98.64
United Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $149.16 / $232.75	Professional		$113.27	$149.16	$232.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.85 / $43.27 / $66.88	Professional	26	$32.85	$43.27	$66.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.03 / $104.08 / $160.44	Professional	TC	$80.03	$104.08	$160.44