Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $25.12	Facility	26	$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $134.90	Professional		$54.95	$70.79	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.84 / $61.66	Professional	26	$22.91	$28.84	$61.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $223.87 / $257.04	Professional	50	$66.07	$223.87	$257.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.15 / $37.15 / $91.20	Professional	52	$37.15	$37.15	$91.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.90 / $70.79	Professional	TC	$28.84	$38.90	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $66.07	Professional		$47.86	$50.12	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $47.86	Professional	26	$21.88	$21.88	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $165.96	Professional		$67.61	$93.33	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $44.67 / $67.61	Professional	26	$30.20	$44.67	$67.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $42.66 / $91.20	Professional	TC	$38.02	$42.66	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $147.91	Professional		$66.07	$95.50	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $38.90 / $57.54	Professional	26	$27.54	$38.90	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $54.95 / $85.11	Professional	TC	$34.67	$54.95	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $125.89	Professional		$58.88	$74.13	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $31.62 / $53.70	Professional	26	$25.70	$31.62	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $41.69 / $72.44	Professional	TC	$31.62	$41.69	$72.44