Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.71 / $7.03 / $13.80	Facility	26	$5.71	$7.03	$13.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.95 / $46.90 / $306.19	Facility	TC	$25.95	$46.90	$306.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $35.86 / $70.77	Professional		$28.41	$35.86	$70.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.72 / $6.84 / $14.05	Professional	26	$5.72	$6.84	$14.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.00 / $98.00 / $98.00	Professional	50	$98.00	$98.00	$98.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.85 / $25.75 / $35.39	Professional	52	$14.85	$25.75	$35.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $28.13 / $54.72	Professional	TC	$22.57	$28.13	$54.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $32.26 / $74.20	Professional		$25.81	$32.26	$74.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.88 / $6.11 / $11.66	Professional	26	$4.88	$6.11	$11.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.45 / $28.34 / $45.53	Professional	TC	$26.45	$28.34	$45.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $47.00	Professional		$47.00	$47.00	$47.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $40.42 / $61.18	Professional		$27.41	$40.42	$61.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $9.81 / $13.67	Professional	26	$5.67	$9.81	$13.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.95 / $31.29 / $47.90	Professional	TC	$20.95	$31.29	$47.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $32.34 / $32.34	Professional		$5.56	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $34.29 / $52.76	Professional		$23.41	$34.29	$52.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $7.73 / $13.28	Professional	26	$5.50	$7.73	$13.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.76 / $28.04 / $40.65	Professional	TC	$16.76	$28.04	$40.65