Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.68 / $130.56 / $357.77	Facility	26	$117.68	$130.56	$357.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.61 / $777.87 / $1,052.07	Professional		$559.61	$777.87	$1,052.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.48 / $137.93 / $334.00	Professional	26	$118.48	$137.93	$334.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $277.01 / $323.27 / $526.04	Professional	52	$277.01	$323.27	$526.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $440.74 / $654.21 / $828.59	Professional	TC	$440.74	$654.21	$828.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $554.66 / $554.66 / $554.66	Professional		$554.66	$554.66	$554.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.10 / $145.75 / $279.85	Professional	26	$104.10	$145.75	$279.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,255.00 / $1,255.00 / $1,255.00	Professional		$1,255.00	$1,255.00	$1,255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.12 / $974.46 / $1,292.65	Professional		$619.12	$974.46	$1,292.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $122.45 / $209.27 / $295.25	Professional	26	$122.45	$209.27	$295.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $497.85 / $762.86 / $1,007.71	Professional	TC	$497.85	$762.86	$1,007.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $499.19	Professional		$32.34	$32.34	$499.19
United Facility/Professional Professional Modifier Low / Median / High Price $566.54 / $756.32 / $1,197.09	Professional		$566.54	$756.32	$1,197.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.58 / $161.50 / $269.17	Professional	26	$112.58	$161.50	$269.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $443.52 / $623.63 / $936.34	Professional	TC	$443.52	$623.63	$936.34