Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.52 / $14.68 / $18.73	Facility	26	$8.52	$14.68	$18.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $39.72 / $54.60	Professional		$22.82	$39.72	$54.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $10.53 / $18.73	Professional	26	$7.78	$10.53	$18.73
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.41 / $21.36 / $27.30	Professional	52	$11.41	$21.36	$27.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $28.12 / $35.86	Professional	TC	$15.04	$28.12	$35.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $9.27 / $13.62	Professional	26	$7.04	$9.27	$13.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Professional		$58.00	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $48.75 / $67.05	Professional		$23.70	$48.75	$67.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $15.86 / $21.59	Professional	26	$7.70	$15.86	$21.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $34.22 / $46.32	Professional	TC	$16.00	$34.22	$46.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $32.34 / $32.34	Professional		$7.54	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $34.61 / $64.69	Professional		$26.64	$34.61	$64.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $10.72 / $21.17	Professional	26	$8.48	$10.72	$21.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $24.22 / $42.12	Professional	TC	$18.72	$24.22	$42.12