Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.11 / $21.11 / $35.53	Facility	26	$21.11	$21.11	$35.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $66.81 / $116.76	Professional		$54.71	$66.81	$116.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $19.43 / $35.53	Professional	26	$16.39	$19.43	$35.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.32 / $33.57 / $58.38	Professional	52	$30.32	$33.57	$58.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.11 / $47.40 / $81.23	Professional	TC	$38.11	$47.40	$81.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $50.98 / $73.86	Professional		$47.41	$50.98	$73.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $41.33 / $41.33	Professional	26	$15.37	$41.33	$41.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $113.00 / $113.00	Professional		$113.00	$113.00	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $78.93 / $101.05	Professional		$55.52	$78.93	$101.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $26.05 / $34.40	Professional	26	$17.20	$26.05	$34.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.31 / $50.54 / $66.84	Professional	TC	$37.31	$50.54	$66.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $32.34 / $45.88	Professional		$31.01	$32.34	$45.88
United Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $61.74 / $98.03	Professional		$52.38	$61.74	$98.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $21.62 / $35.75	Professional	26	$16.64	$21.62	$35.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.65 / $44.25 / $75.80	Professional	TC	$34.65	$44.25	$75.80