Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $14.13	Facility	26	$7.94	$7.94	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $63.10	Professional		$30.20	$38.02	$63.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.71 / $18.62	Professional	26	$7.08	$8.71	$18.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.18 / $47.86	Professional	TC	$22.91	$28.18	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $35.48	Professional		$24.55	$28.18	$35.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.94 / $14.79	Professional	26	$6.46	$7.94	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $19.50 / $19.50	Professional	TC	$19.50	$19.50	$19.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $64.57	Professional		$26.30	$42.66	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.88 / $17.78	Professional	26	$7.08	$12.88	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.90 / $46.77	Professional	TC	$18.20	$30.90	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $33.11	Professional		$22.39	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $54.95	Professional		$25.12	$37.15	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.55 / $18.62	Professional	26	$7.41	$9.55	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.92 / $38.90	Professional	TC	$16.98	$26.92	$38.90