Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $130.22 / $205.09 / $335.00	Facility	26	$130.22	$205.09	$335.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $165.89 / $165.89 / $279.25	Facility	53	$165.89	$165.89	$279.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.47 / $1,010.53 / $1,396.27	Professional		$829.47	$1,010.53	$1,396.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $130.22 / $205.09 / $219.20	Professional	26	$130.22	$205.09	$219.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $414.74 / $566.40 / $698.14	Professional	52	$414.74	$566.40	$698.14
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $165.89 / $226.56 / $279.25	Professional	53	$165.89	$226.56	$279.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $699.25 / $802.61 / $1,177.07	Professional	TC	$699.25	$802.61	$1,177.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $109.63 / $109.63 / $253.78	Professional	26	$109.63	$109.63	$253.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Professional		$1,078.00	$1,078.00	$1,078.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.72 / $1,104.16 / $1,676.84	Professional		$667.72	$1,104.16	$1,676.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.63 / $231.45 / $318.95	Professional	26	$110.63	$231.45	$318.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $557.41 / $871.57 / $1,274.52	Professional	TC	$557.41	$871.57	$1,274.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $527.63	Professional		$32.34	$32.34	$527.63
United Facility/Professional Professional Modifier Low / Median / High Price $764.59 / $979.57 / $1,454.97	Professional		$764.59	$979.57	$1,454.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $124.92 / $187.38 / $275.66	Professional	26	$124.92	$187.38	$275.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $608.83 / $760.99 / $1,121.10	Professional	TC	$608.83	$760.99	$1,121.10