Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.75 / $11.78 / $25.87	Facility	26	$10.75	$11.78	$25.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $47.41 / $85.00	Professional		$37.97	$47.41	$85.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $12.50 / $24.48	Professional	26	$10.75	$12.50	$24.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $34.33 / $51.56	Professional	TC	$27.23	$34.33	$51.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $36.57 / $91.47	Professional		$31.82	$36.57	$91.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.69 / $11.58 / $12.78	Professional	26	$9.69	$11.58	$12.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.68 / $28.68 / $28.68	Professional	TC	$28.68	$28.68	$28.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $58.67 / $80.01	Professional		$36.14	$58.67	$80.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $19.77 / $26.13	Professional	26	$10.64	$19.77	$26.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.04 / $39.19 / $55.19	Professional	TC	$24.04	$39.19	$55.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $32.34 / $35.79	Professional		$10.40	$32.34	$35.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $49.15 / $85.32	Professional		$33.01	$49.15	$85.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $14.57 / $26.17	Professional	26	$10.25	$14.57	$26.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $32.86 / $59.13	Professional	TC	$21.14	$32.86	$59.13