Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.55 / $18.55 / $27.03	Facility	26	$18.55	$18.55	$27.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $62.49 / $261.00	Professional		$54.52	$62.49	$261.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $18.67 / $64.59	Professional	26	$16.39	$18.67	$64.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $178.50 / $178.50 / $178.50	Professional	50	$178.50	$178.50	$178.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.99 / $31.01 / $34.88	Professional	52	$25.99	$31.01	$34.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.24 / $44.32 / $78.81	Professional	TC	$36.24	$44.32	$78.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $78.04 / $96.88	Professional		$50.05	$78.04	$96.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.17 / $24.17 / $30.25	Professional	26	$18.17	$24.17	$30.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $56.00 / $98.46	Professional		$28.00	$56.00	$98.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $20.81 / $34.03	Professional	26	$16.89	$20.81	$34.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.92 / $45.57 / $66.93	Professional	TC	$36.92	$45.57	$66.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $77.43 / $116.06	Professional		$59.87	$77.43	$116.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.42 / $23.08 / $36.47	Professional	26	$19.42	$23.08	$36.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.07 / $49.17 / $79.63	Professional	TC	$40.07	$49.17	$79.63
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $20.82 / $28.40 / $47.46	Facility	26	$20.82	$28.40	$47.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $36.48 / $55.69	Professional		$27.61	$36.48	$55.69
United Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $63.88 / $114.42	Professional		$53.30	$63.88	$114.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.11 / $19.13 / $34.78	Professional	26	$17.11	$19.13	$34.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.95 / $44.75 / $69.45	Professional	TC	$35.95	$44.75	$69.45