Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.62 / $7.29 / $16.01	Facility	26	$6.62	$7.29	$16.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $30.93 / $54.99	Professional		$23.03	$30.93	$54.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $7.84 / $16.01	Professional	26	$6.63	$7.84	$16.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.52 / $20.01 / $27.50	Professional	52	$11.52	$20.01	$27.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $20.75 / $36.32	Professional	TC	$16.39	$20.75	$36.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $41.78 / $55.52	Professional		$17.44	$41.78	$55.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.66 / $7.20 / $17.70	Professional	26	$5.66	$7.20	$17.70
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $31.39 / $31.39 / $31.39	Professional	50	$31.39	$31.39	$31.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.88 / $25.88 / $25.88	Professional	TC	$25.88	$25.88	$25.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $36.04 / $52.96	Professional		$22.68	$36.04	$52.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $11.93 / $15.85	Professional	26	$6.57	$11.93	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.83 / $25.84 / $37.57	Professional	TC	$15.83	$25.84	$37.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $32.34 / $32.34	Professional		$6.44	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $30.11 / $52.43	Professional		$21.04	$30.11	$52.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.38 / $16.29	Professional	26	$6.46	$9.38	$16.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.33 / $20.60 / $34.36	Professional	TC	$14.33	$20.60	$34.36