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 Facility Modifier TC Low / Median / High Price $26.51 / $47.92 / $60.54	Facility	TC	$26.51	$47.92	$60.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $51.98 / $86.18	Professional		$36.15	$51.98	$86.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $16.14 / $27.96	Professional	26	$11.63	$16.14	$27.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $35.11 / $46.57	Professional	TC	$24.52	$35.11	$46.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $34.65 / $35.02	Professional		$34.65	$34.65	$35.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $12.34 / $30.85	Professional	26	$9.94	$12.34	$30.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $64.73 / $89.28	Professional		$36.63	$64.73	$89.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $25.93 / $33.50	Professional	26	$11.50	$25.93	$33.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.04 / $38.81 / $56.40	Professional	TC	$24.04	$38.81	$56.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $32.34 / $34.40	Professional		$11.24	$32.34	$34.40
United Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $48.14 / $88.92	Professional		$36.84	$48.14	$88.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.55 / $16.80 / $31.50	Professional	26	$13.55	$16.80	$31.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.27 / $31.08 / $57.42	Professional	TC	$23.27	$31.08	$57.42