Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $199.53 / $831.76	Facility	26	$117.49	$199.53	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,288.25	Professional		$575.44	$724.44	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $190.55 / $354.81	Professional	26	$114.82	$190.55	$354.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $213.80 / $295.12 / $1,258.93	Professional	52	$213.80	$295.12	$1,258.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $562.34 / $891.25	Professional	TC	$457.09	$562.34	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $588.84 / $870.96	Professional		$524.81	$588.84	$870.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $131.83 / $186.21	Professional	26	$112.20	$131.83	$186.21
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	52	$141.25	$141.25	$141.25
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $467.74 / $489.78	Professional	TC	$457.09	$467.74	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $912.01	Professional		$537.03	$776.25	$912.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $234.42 / $275.42	Professional	26	$154.88	$234.42	$275.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $537.03 / $630.96	Professional	TC	$371.54	$537.03	$630.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $138.04 / $199.53	Facility	26	$29.51	$138.04	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,348.96	Professional		$588.84	$741.31	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $173.78 / $269.15	Professional	26	$120.23	$173.78	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $588.84 / $1,071.52	Professional	TC	$436.52	$588.84	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,202.26	Professional		$457.09	$645.65	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $131.83 / $275.42	Professional	26	$91.20	$131.83	$275.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $524.81 / $977.24	Professional	TC	$363.08	$524.81	$977.24