Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $35.39 / $56.59	Professional		$30.56	$35.39	$56.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.12 / $28.60 / $48.15	Professional	26	$14.12	$28.60	$48.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.28 / $17.70 / $27.84	Professional	52	$15.28	$17.70	$27.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $4.22 / $5.01 / $27.60	Professional	TC	$4.22	$5.01	$27.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $30.16 / $30.16	Professional		$30.16	$30.16	$30.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Professional	26	$31.62	$31.62	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $42.30 / $72.70	Professional		$23.14	$42.30	$72.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.19 / $27.47 / $44.31	Professional	26	$20.19	$27.47	$44.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.01 / $6.46 / $50.04	Professional	TC	$3.01	$6.46	$50.04
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 $23.97 / $28.20 / $58.36	Professional		$23.97	$28.20	$58.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.75 / $23.38 / $34.76	Professional	26	$18.75	$23.38	$34.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.03 / $4.04 / $26.52	Professional	TC	$3.03	$4.04	$26.52