Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.30 / $45.82 / $80.33	Facility	26	$42.30	$45.82	$80.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $156.80 / $198.72	Professional		$83.40	$156.80	$198.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.30 / $62.52 / $118.43	Professional	26	$42.30	$62.52	$118.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $41.29 / $68.81 / $85.25	Professional	52	$41.29	$68.81	$85.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.68 / $76.47 / $131.86	Professional	TC	$40.68	$76.47	$131.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $83.69 / $104.61	Professional		$83.69	$83.69	$104.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.13 / $53.83 / $99.80	Professional	26	$37.13	$53.83	$99.80
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $20.92 / $20.92 / $20.92	Professional	52	$20.92	$20.92	$20.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $261.00 / $261.00	Professional		$261.00	$261.00	$261.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $248.32 / $306.82	Professional		$91.39	$248.32	$306.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $95.43 / $126.17	Professional	26	$43.41	$95.43	$126.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.98 / $148.80 / $189.76	Professional	TC	$47.98	$148.80	$189.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $106.30 / $171.99 / $285.70	Professional		$106.30	$171.99	$285.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.57 / $69.81 / $115.29	Professional	26	$41.57	$69.81	$115.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.29 / $104.33 / $170.41	Professional	TC	$62.29	$104.33	$170.41