Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $30.20 / $35.48	Facility	26	$22.91	$30.20	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $323.59	Professional		$47.86	$85.11	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $40.74 / $117.49	Professional	26	$22.91	$40.74	$117.49
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.77 / $74.13 / $123.03	Professional	52	$46.77	$74.13	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $47.86 / $95.50	Professional	TC	$25.12	$47.86	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $107.15	Professional		$34.67	$52.48	$107.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.30 / $45.71	Professional	26	$20.42	$26.30	$45.71
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $57.54 / $57.54 / $63.10	Professional	52	$57.54	$57.54	$63.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $27.54 / $43.65	Professional	TC	$5.25	$27.54	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $141.25	Professional		$60.26	$87.10	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $53.70 / $81.28	Professional	26	$28.18	$53.70	$81.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $36.31 / $56.23	Professional	TC	$30.90	$36.31	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $154.88	Professional		$67.61	$93.33	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $35.48 / $53.70	Professional	26	$25.12	$35.48	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $60.26 / $97.72	Professional	TC	$34.67	$60.26	$97.72
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 $66.07 / $83.18 / $138.04	Professional		$66.07	$83.18	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $29.51 / $51.29	Professional	26	$23.44	$29.51	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $53.70 / $91.20	Professional	TC	$40.74	$53.70	$91.20