Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $21.88	Facility	26	$12.02	$12.02	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $93.33	Professional		$38.02	$48.98	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.88 / $25.70	Professional	26	$10.96	$12.88	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $33.88 / $57.54	Professional	TC	$26.92	$33.88	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $60.26	Professional		$34.67	$34.67	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $12.59 / $13.80	Professional	26	$12.30	$12.59	$13.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	TC	$26.92	$26.92	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $81.28	Professional		$33.11	$58.88	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.50 / $28.18	Professional	26	$10.96	$19.50	$28.18
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 $33.88 / $46.77 / $83.18	Professional		$33.88	$46.77	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $14.45 / $28.84	Professional	26	$11.48	$14.45	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.11 / $54.95	Professional	TC	$22.39	$33.11	$54.95