Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $26.92 / $58.88	Facility	26	$24.55	$26.92	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $120.23	Professional		$44.67	$64.57	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $38.02 / $93.33	Professional	26	$24.55	$38.02	$93.33
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.54 / $186.21 / $389.05	Professional	52	$27.54	$186.21	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $57.54	Professional	TC	$19.05	$28.18	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $64.57	Professional		$33.88	$40.74	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $26.30 / $44.67	Professional	26	$21.38	$26.30	$44.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $20.89 / $33.11	Professional	TC	$16.98	$20.89	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $107.15	Professional		$39.81	$70.79	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $41.69 / $58.88	Professional	26	$22.91	$41.69	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $30.90 / $46.77	Professional	TC	$18.62	$30.90	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $95.50	Professional		$45.71	$60.26	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $33.88 / $52.48	Professional	26	$25.70	$33.88	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.30 / $40.74	Professional	TC	$19.95	$26.30	$40.74