Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $46.77 / $204.17	Facility	26	$41.69	$46.77	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $251.19	Professional		$89.13	$144.54	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $57.54 / $125.89	Professional	26	$40.74	$57.54	$125.89
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $47.86 / $95.50 / $95.50	Professional	52	$47.86	$95.50	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $70.79 / $147.91	Professional	TC	$46.77	$70.79	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $158.49	Professional		$79.43	$89.13	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $50.12 / $67.61	Professional	26	$39.81	$50.12	$67.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $53.70 / $93.33	Professional	TC	$53.70	$53.70	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $309.03	Professional		$102.33	$213.80	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $95.50 / $120.23	Professional	26	$47.86	$95.50	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $117.49 / $190.55	Professional	TC	$47.86	$117.49	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $288.40	Professional		$107.15	$173.78	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $67.61 / $123.03	Professional	26	$41.69	$67.61	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $104.71 / $169.82	Professional	TC	$63.10	$104.71	$169.82