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 Facility Modifier TC Low / Median / High Price $25.70 / $47.86 / $60.26	Facility	TC	$25.70	$47.86	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $91.20	Professional		$36.31	$45.71	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.14 / $35.48	Professional	26	$10.96	$15.14	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $32.36 / $57.54	Professional	TC	$24.55	$32.36	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $36.31	Professional		$27.54	$35.48	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.80 / $30.90	Professional	26	$10.47	$13.80	$30.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $29.51 / $35.48	Professional	TC	$18.62	$29.51	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $60.26 / $89.13	Professional		$33.11	$60.26	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $22.39 / $33.11	Professional	26	$10.96	$22.39	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $38.90 / $57.54	Professional	TC	$23.44	$38.90	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $33.11	Professional		$23.44	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $89.13	Professional		$36.31	$47.86	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $16.22 / $31.62	Professional	26	$13.18	$16.22	$31.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.90 / $60.26	Professional	TC	$22.39	$30.90	$60.26