Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.73 / $21.92 / $27.96	Facility	26	$12.73	$21.92	$27.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $48.84 / $93.00	Professional		$38.86	$48.84	$93.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $13.51 / $27.96	Professional	26	$11.63	$13.51	$27.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $34.72 / $65.04	Professional	TC	$27.23	$34.72	$65.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $93.61 / $93.61	Professional		$37.34	$93.61	$93.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $9.86 / $13.14	Professional	26	$9.86	$9.86	$13.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Professional		$67.00	$67.00	$67.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $60.19 / $82.03	Professional		$37.13	$60.19	$82.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $21.45 / $28.29	Professional	26	$11.50	$21.45	$28.29
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 $11.24 / $32.34 / $36.63	Professional		$11.24	$32.34	$36.63
United Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $47.52 / $85.10	Professional		$33.85	$47.52	$85.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $16.32 / $28.86	Professional	26	$11.34	$16.32	$28.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.24 / $33.59 / $59.87	Professional	TC	$22.24	$33.59	$59.87