Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $23.44 / $25.12	Facility	26	$23.44	$23.44	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $89.13	Professional		$30.90	$38.02	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $22.91 / $43.65	Professional	26	$19.95	$22.91	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.02 / $19.05	Professional	TC	$10.00	$12.02	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $42.66	Professional		$26.92	$33.11	$42.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.70 / $30.90	Professional	26	$21.88	$25.70	$30.90
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $8.91 / $8.91 / $8.91	Professional	52	$8.91	$8.91	$8.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $63.10	Professional		$32.36	$43.65	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.20 / $42.66	Professional	26	$22.39	$30.20	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $13.80 / $19.50	Professional	TC	$10.23	$13.80	$19.50
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 $28.18 / $36.31 / $56.23	Professional		$28.18	$36.31	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $39.81	Professional	26	$19.95	$25.12	$39.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $11.22 / $17.38	Professional	TC	$8.91	$11.22	$17.38