Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.76 / $27.26 / $59.86	Facility	26	$24.76	$27.26	$59.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $58.76 / $103.30	Professional		$47.04	$58.76	$103.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.77 / $29.03 / $59.86	Professional	26	$24.77	$29.03	$59.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.05 / $14.05 / $136.72	Professional	52	$14.05	$14.05	$136.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.77 / $27.05 / $43.45	Professional	TC	$19.77	$27.05	$43.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $37.74 / $105.94	Professional		$36.85	$37.74	$105.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $26.22 / $49.72	Professional	26	$20.97	$26.22	$49.72
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $10.29 / $105.94 / $105.94	Professional	52	$10.29	$105.94	$105.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $69.00	Professional		$69.00	$69.00	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $72.43 / $105.60	Professional		$43.43	$72.43	$105.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $43.94 / $58.90	Professional	26	$24.10	$43.94	$58.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $33.24 / $46.54	Professional	TC	$19.32	$33.24	$46.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $61.68 / $97.49	Professional		$47.40	$61.68	$97.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.08 / $34.67 / $55.66	Professional	26	$26.08	$34.67	$55.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $26.24 / $41.97	Professional	TC	$20.55	$26.24	$41.97