Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.17 / $37.17 / $50.17	Facility	26	$37.17	$37.17	$50.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $75.34 / $89.56	Professional		$43.12	$75.34	$89.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.73 / $26.08 / $39.02	Professional	26	$18.73	$26.08	$39.02
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.56 / $28.62 / $37.68	Professional	52	$21.56	$28.62	$37.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.39 / $38.18 / $55.88	Professional	TC	$24.39	$38.18	$55.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $51.03 / $60.80	Professional		$43.79	$51.03	$60.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.08 / $24.98 / $33.10	Professional	26	$5.08	$24.98	$33.10
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $10.95 / $10.95 / $10.95	Professional	52	$10.95	$10.95	$10.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.14 / $22.14 / $22.14	Professional	TC	$22.14	$22.14	$22.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $127.58 / $150.54	Professional		$87.50	$127.58	$150.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.40 / $62.00 / $73.16	Professional	26	$43.40	$62.00	$73.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.10 / $63.00 / $74.34	Professional	TC	$44.10	$63.00	$74.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.30 / $30.30 / $30.30	Facility	26	$30.30	$30.30	$30.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $92.84 / $231.10	Professional		$47.32	$92.84	$231.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.39 / $30.92 / $78.63	Professional	26	$21.39	$30.92	$78.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.32 / $62.18 / $153.74	Professional	TC	$24.32	$62.18	$153.74
United Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $73.65 / $105.63	Professional		$58.75	$73.65	$105.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $26.63 / $36.03	Professional	26	$21.10	$26.63	$36.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.92 / $45.80 / $72.37	Professional	TC	$36.92	$45.80	$72.37