Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.86 / $406.41 / $795.65	Facility		$130.86	$406.41	$795.65
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.25 / $25.18 / $42.39	Facility	26	$22.25	$25.18	$42.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.86 / $170.17 / $229.92	Professional		$112.86	$170.17	$229.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.19 / $25.18 / $42.39	Professional	26	$20.19	$25.18	$42.39
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $61.23 / $74.91 / $114.96	Professional	52	$61.23	$74.91	$114.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.60 / $157.09 / $188.94	Professional	TC	$108.60	$157.09	$188.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $111.33 / $122.24	Professional		$102.08	$111.33	$122.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.36 / $21.71 / $36.90	Professional	26	$15.36	$21.71	$36.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $85.45 / $85.45 / $91.56	Professional	TC	$85.45	$85.45	$91.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $192.00	Professional		$192.00	$192.00	$192.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.65 / $149.09 / $2,186.00	Facility		$124.65	$149.09	$2,186.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $170.35 / $244.64	Professional		$117.71	$170.35	$244.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.36 / $29.27 / $44.23	Professional	26	$20.36	$29.27	$44.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.66 / $143.75 / $203.81	Professional	TC	$97.66	$143.75	$203.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $82.03	Professional		$32.34	$32.34	$82.03
United Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $163.30 / $239.70	Professional		$111.11	$163.30	$239.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $25.85 / $41.95	Professional	26	$19.39	$25.85	$41.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.03 / $135.29 / $206.89	Professional	TC	$92.03	$135.29	$206.89