Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.29 / $21.15 / $26.98	Facility	26	$12.29	$21.15	$26.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $39.77 / $86.44	Professional		$34.85	$39.77	$86.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $14.01 / $25.66	Professional	26	$11.17	$14.01	$25.66
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.12 / $31.45 / $43.22	Professional	52	$18.12	$31.45	$43.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.74 / $55.88	Professional	TC	$22.26	$27.74	$55.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $88.87 / $88.87	Professional		$35.74	$88.87	$88.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $11.94 / $20.42	Professional	26	$9.56	$11.94	$20.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Professional		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $53.05 / $72.62	Professional		$32.29	$53.05	$72.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $21.12 / $28.35	Professional	26	$11.07	$21.12	$28.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.59 / $35.54 / $44.25	Professional	TC	$19.59	$35.54	$44.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $32.34 / $34.78	Professional		$10.88	$32.34	$34.78
United Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $45.16 / $81.09	Professional		$29.96	$45.16	$81.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.15 / $15.76 / $28.49	Professional	26	$11.15	$15.76	$28.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.26 / $29.22 / $53.77	Professional	TC	$18.26	$29.22	$53.77