Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $10.72 / $19.95	Facility	26	$10.72	$10.72	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $87.10	Professional		$37.15	$47.86	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.59 / $26.92	Professional	26	$10.00	$12.59	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $34.67 / $57.54	Professional	TC	$26.92	$34.67	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.88 / $70.79	Professional		$29.51	$33.88	$70.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.48 / $17.38	Professional	26	$9.12	$11.48	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.18 / $51.29	Professional	TC	$20.42	$28.18	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $79.43	Professional		$32.36	$57.54	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $18.20 / $26.30	Professional	26	$10.00	$18.20	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $38.90 / $54.95	Professional	TC	$23.44	$38.90	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $33.11	Professional		$25.70	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $81.28	Professional		$33.11	$46.77	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.80 / $26.30	Professional	26	$10.47	$13.80	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.11 / $54.95	Professional	TC	$22.39	$33.11	$54.95