Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $239.88	Facility	26	$123.03	$123.03	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,258.93	Professional		$549.54	$724.44	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $177.83 / $537.03	Professional	26	$109.65	$177.83	$537.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $128.82 / $380.19 / $776.25	Professional	52	$128.82	$380.19	$776.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $562.34 / $1,023.29	Professional	TC	$436.52	$562.34	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $870.96	Professional		$446.68	$562.34	$870.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $128.82 / $165.96	Professional	26	$102.33	$128.82	$165.96
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $302.00 / $660.69	Professional	TC	$234.42	$302.00	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,047.13	Professional		$575.44	$676.08	$1,047.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $162.18 / $363.08	Professional	26	$117.49	$162.18	$363.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $537.03 / $707.95	Professional	TC	$302.00	$537.03	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,230.27	Professional		$630.96	$812.83	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $186.21 / $269.15	Professional	26	$128.82	$186.21	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $501.19 / $645.65 / $954.99	Professional	TC	$501.19	$645.65	$954.99
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 $562.34 / $691.83 / $1,047.13	Professional		$562.34	$691.83	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $151.36 / $234.42	Professional	26	$107.15	$151.36	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $537.03 / $831.76	Professional	TC	$426.58	$537.03	$831.76