Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $16.98	Facility	26	$9.33	$9.33	$16.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $67.61 / $416.87	Facility	TC	$27.54	$67.61	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $144.54	Professional		$36.31	$60.26	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.13 / $38.90	Professional	26	$8.91	$14.13	$38.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $109.65 / $165.96	Professional	50	$41.69	$109.65	$165.96
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	52	$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $44.67 / $87.10	Professional	TC	$28.18	$44.67	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $58.88	Professional		$30.20	$37.15	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.48 / $20.42	Professional	26	$8.51	$11.48	$20.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $60.26 / $104.71	Professional	50	$51.29	$60.26	$104.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.11 / $48.98	Professional	TC	$23.99	$33.11	$48.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $81.28	Professional		$31.62	$52.48	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.85 / $22.91	Professional	26	$8.91	$15.85	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $38.90 / $58.88	Professional	TC	$23.44	$38.90	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $33.11	Professional		$26.92	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $66.07	Professional		$30.20	$44.67	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.75 / $22.39	Professional	26	$9.12	$11.75	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $45.71	Professional	TC	$21.88	$32.36	$45.71