Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.50 / $8.25 / $18.11	Facility	26	$7.50	$8.25	$18.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.49 / $60.19	Professional		$24.92	$30.49	$60.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.25 / $18.11	Professional	26	$7.33	$8.25	$18.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $20.22 / $42.07	Professional	TC	$17.57	$20.22	$42.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $61.43	Professional		$21.37	$21.37	$61.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.40 / $8.00 / $20.00	Professional	26	$6.40	$8.00	$20.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.97 / $14.97 / $18.93	Professional	TC	$14.97	$14.97	$18.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $39.70 / $52.68	Professional		$23.55	$39.70	$52.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $12.82 / $16.57	Professional	26	$7.43	$12.82	$16.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.42 / $26.21 / $35.54	Professional	TC	$16.42	$26.21	$35.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $32.34 / $32.34	Professional		$7.29	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.71 / $52.77	Professional		$20.89	$32.71	$52.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $10.32 / $18.10	Professional	26	$7.03	$10.32	$18.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.25 / $22.09 / $35.47	Professional	TC	$14.25	$22.09	$35.47