Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $10.47 / $10.47	Facility	26	$7.24	$10.47	$10.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $36.31 / $83.18	Professional		$17.78	$36.31	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $12.02 / $31.62	Professional	26	$6.03	$12.02	$31.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $114.82 / $165.96	Professional	50	$66.07	$114.82	$165.96
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.54 / $27.54 / $28.84	Professional	52	$27.54	$27.54	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $23.44 / $48.98	Professional	TC	$15.14	$23.44	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.39 / $30.20	Professional		$16.60	$22.39	$30.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.08 / $10.72	Professional	26	$5.75	$7.08	$10.72
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $37.15 / $50.12	Professional	50	$37.15	$37.15	$50.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $16.98 / $27.54	Professional	TC	$15.14	$16.98	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $48.98	Professional		$26.92	$38.90	$48.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.59 / $16.22	Professional	26	$8.71	$12.59	$16.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $33.11	Professional	TC	$18.20	$25.70	$33.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $8.71 / $8.71	Facility	26	$8.71	$8.71	$8.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $60.26	Professional		$20.89	$30.90	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.23 / $19.95	Professional	26	$7.24	$10.23	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.44 / $51.29	Professional	TC	$15.85	$23.44	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $37.15	Professional		$19.95	$26.92	$37.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $11.75	Professional	26	$6.03	$7.94	$11.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $18.62 / $25.70	Professional	TC	$13.49	$18.62	$25.70