Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.64 / $26.08 / $57.26	Facility	26	$23.64	$26.08	$57.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $88.15 / $130.00	Professional		$54.39	$88.15	$130.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.64 / $34.19 / $57.26	Professional	26	$23.64	$34.19	$57.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.01 / $42.36 / $57.12	Professional	52	$26.01	$42.36	$57.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.95 / $44.67 / $69.59	Professional	TC	$25.95	$44.67	$69.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $45.77 / $50.67	Professional		$45.07	$45.77	$50.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $25.07 / $62.68	Professional	26	$19.98	$25.07	$62.68
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $10.13 / $10.13 / $11.44	Professional	52	$10.13	$10.13	$11.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $129.00 / $129.00	Professional		$129.00	$129.00	$129.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $104.21 / $164.57	Professional		$47.32	$104.21	$164.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.98 / $37.85 / $52.30	Professional	26	$20.98	$37.85	$52.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.32 / $62.18 / $104.25	Professional	TC	$24.32	$62.18	$104.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $32.34 / $32.34	Professional		$22.82	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $81.48 / $152.36	Professional		$64.64	$81.48	$152.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.44 / $32.54 / $54.00	Professional	26	$22.44	$32.54	$54.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.05 / $52.11 / $93.69	Professional	TC	$42.05	$52.11	$93.69