Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $19.75 / $24.60	Facility	26	$11.22	$19.75	$24.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $58.98 / $102.06	Professional		$52.63	$58.98	$102.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $12.95 / $23.35	Professional	26	$11.34	$12.95	$23.35
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.03 / $29.49 / $48.64	Professional	52	$27.03	$29.49	$48.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.38 / $46.03 / $73.92	Professional	TC	$41.38	$46.03	$73.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $60.02 / $105.62	Professional		$45.32	$60.02	$105.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $13.84 / $16.35	Professional	26	$9.89	$13.84	$16.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $70.02 / $94.36	Professional		$50.66	$70.02	$94.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $16.86 / $27.19	Professional	26	$12.04	$16.86	$27.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $51.34 / $72.25	Professional	TC	$38.90	$51.34	$72.25
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 $46.24 / $58.32 / $88.30	Professional		$46.24	$58.32	$88.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $13.89 / $21.19	Professional	26	$10.80	$13.89	$21.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.47 / $43.48 / $66.08	Professional	TC	$34.47	$43.48	$66.08