Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.39 / $125.79 / $344.08	Facility	26	$113.39	$125.79	$344.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.10 / $720.28 / $1,007.87	Professional		$536.10	$720.28	$1,007.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $113.39 / $131.91 / $373.68	Professional	26	$113.39	$131.91	$373.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $265.37 / $306.30 / $503.94	Professional	52	$265.37	$306.30	$503.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $421.56 / $602.07 / $792.54	Professional	TC	$421.56	$602.07	$792.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $529.70 / $529.70 / $529.70	Professional		$529.70	$529.70	$529.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $99.86 / $139.81 / $268.45	Professional	26	$99.86	$139.81	$268.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.00 / $1,148.00 / $1,148.00	Professional		$1,148.00	$1,148.00	$1,148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $932.65 / $1,182.44	Professional		$592.39	$932.65	$1,182.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.90 / $195.00 / $284.36	Professional	26	$117.90	$195.00	$284.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $455.00 / $727.38 / $942.66	Professional	TC	$455.00	$727.38	$942.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $476.73	Professional		$32.34	$32.34	$476.73
United Facility/Professional Professional Modifier Low / Median / High Price $542.24 / $709.32 / $1,089.53	Professional		$542.24	$709.32	$1,089.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.62 / $167.27 / $250.46	Professional	26	$108.62	$167.27	$250.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $423.76 / $581.01 / $846.89	Professional	TC	$423.76	$581.01	$846.89