Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.30 / $15.00 / $32.70	Facility	26	$8.30	$15.00	$32.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $61.60 / $110.87	Professional		$52.67	$61.60	$110.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $9.36 / $17.28	Professional	26	$8.05	$9.36	$17.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.22 / $30.80 / $51.85	Professional	52	$29.22	$30.80	$51.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.29 / $50.40 / $86.40	Professional	TC	$45.29	$50.40	$86.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.91 / $58.94 / $103.73	Professional		$42.91	$58.94	$103.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $10.62 / $12.09	Professional	26	$7.34	$10.62	$12.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $63.00	Professional		$63.00	$63.00	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $70.47 / $95.82	Professional		$51.13	$70.47	$95.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.88 / $12.08 / $16.66	Professional	26	$8.88	$12.08	$16.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.83 / $58.47 / $80.01	Professional	TC	$42.83	$58.47	$80.01
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 $45.90 / $58.08 / $91.48	Professional		$45.90	$58.08	$91.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $9.99 / $15.64	Professional	26	$7.99	$9.99	$15.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $48.32 / $74.90	Professional	TC	$38.40	$48.32	$74.90