Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.88 / $38.88 / $52.48	Facility	26	$38.88	$38.88	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $50.79 / $71.31	Professional		$42.49	$50.79	$71.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.63 / $28.65 / $52.48	Professional	26	$23.63	$28.65	$52.48
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.66 / $53.10 / $177.00	Professional	52	$14.66	$53.10	$177.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.94 / $23.57 / $30.49	Professional	TC	$17.94	$23.57	$30.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $40.25 / $78.86	Professional		$36.28	$40.25	$78.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.92 / $28.83 / $34.65	Professional	26	$20.92	$28.83	$34.65
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $9.88 / $34.59 / $34.59	Professional	52	$9.88	$34.59	$34.59
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.25 / $17.25 / $17.25	Professional	TC	$17.25	$17.25	$17.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $54.81 / $64.68	Professional		$40.01	$54.81	$64.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.48 / $30.80 / $36.34	Professional	26	$22.48	$30.80	$36.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.53 / $24.01 / $28.33	Professional	TC	$17.53	$24.01	$28.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $59.56 / $127.17	Professional		$39.50	$59.56	$127.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.76 / $37.74 / $70.62	Professional	26	$22.76	$37.74	$70.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $29.42 / $56.54	Professional	TC	$18.30	$29.42	$56.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $54.54 / $77.45	Professional		$42.71	$54.54	$77.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.01 / $29.76 / $41.08	Professional	26	$23.01	$29.76	$41.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.95 / $23.99 / $33.93	Professional	TC	$18.95	$23.99	$33.93