Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.84 / $13.94 / $23.47	Facility	26	$12.84	$13.94	$23.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $106.03 / $146.37	Professional		$72.45	$106.03	$146.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $13.94 / $25.10	Professional	26	$11.48	$13.94	$25.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.54 / $47.70 / $73.19	Professional	52	$39.54	$47.70	$73.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.45 / $104.06 / $125.37	Professional	TC	$71.45	$104.06	$125.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.64 / $54.87 / $109.73	Professional		$46.64	$54.87	$109.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $11.62 / $21.24	Professional	26	$8.43	$11.62	$21.24
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $62.45 / $62.45 / $62.45	Professional	TC	$62.45	$62.45	$62.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $124.00	Professional		$124.00	$124.00	$124.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $109.47 / $158.25	Professional		$74.31	$109.47	$158.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $15.92 / $26.36	Professional	26	$11.40	$15.92	$26.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.31 / $94.35 / $134.34	Professional	TC	$63.31	$94.35	$134.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $53.18	Professional		$32.34	$32.34	$53.18
United Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $105.83 / $163.49	Professional		$71.20	$105.83	$163.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.87 / $14.23 / $21.17	Professional	26	$10.87	$14.23	$21.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.11 / $88.80 / $141.59	Professional	TC	$61.11	$88.80	$141.59