Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.10 / $3.31 / $9.00	Facility	26	$3.10	$3.31	$9.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $37.20 / $45.31	Professional		$20.45	$37.20	$45.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.85 / $3.81 / $9.00	Professional	26	$2.85	$3.81	$9.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.85 / $17.07 / $22.16	Professional	52	$10.85	$17.07	$22.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.61 / $33.78 / $39.28	Professional	TC	$18.61	$33.78	$39.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $20.27 / $47.70	Professional		$20.27	$20.27	$47.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.68 / $3.27 / $7.05	Professional	26	$2.68	$3.27	$7.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $39.75 / $93.41	Professional		$22.63	$39.75	$93.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.37 / $4.96 / $8.17	Professional	26	$3.37	$4.96	$8.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.04 / $33.97 / $88.45	Professional	TC	$20.04	$33.97	$88.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $32.34 / $32.34	Professional		$14.63	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $30.16 / $123.84	Professional		$21.47	$30.16	$123.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.81 / $4.26 / $9.36	Professional	26	$2.81	$4.26	$9.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.27 / $25.63 / $110.67	Professional	TC	$18.27	$25.63	$110.67