Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $125.89 / $660.69	Facility	26	$112.20	$125.89	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,122.02	Professional		$549.54	$724.44	$1,122.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $141.25 / $512.86	Professional	26	$112.20	$141.25	$512.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $109.65 / $190.55 / $190.55	Professional	52	$109.65	$190.55	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $446.68 / $537.03 / $741.31	Professional	TC	$446.68	$537.03	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,230.27	Professional		$446.68	$588.84	$1,230.27
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $134.90 / $165.96	Professional	26	$104.71	$134.90	$165.96
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $512.86 / $512.86 / $549.54	Professional	TC	$512.86	$512.86	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,174.90	Professional		$602.56	$933.25	$1,174.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $199.53 / $281.84	Professional	26	$128.82	$199.53	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $724.44 / $933.25	Professional	TC	$457.09	$724.44	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,096.48	Professional		$537.03	$758.58	$1,096.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $154.88 / $263.03	Professional	26	$109.65	$154.88	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $575.44 / $851.14	Professional	TC	$426.58	$575.44	$851.14