Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.02 / $24.14 / $30.79	Facility	26	$14.02	$24.14	$30.79
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 $36.79 / $44.39 / $70.25	Professional		$36.79	$44.39	$70.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.08 / $15.81 / $28.26	Professional	26	$13.08	$15.81	$28.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $28.35 / $58.21	Professional	TC	$23.51	$28.35	$58.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $28.31 / $35.79	Professional		$28.31	$28.31	$35.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.12 / $11.12 / $23.41	Professional	26	$11.12	$11.12	$23.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $69.00	Professional		$69.00	$69.00	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $56.92 / $78.98	Professional		$34.94	$56.92	$78.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.40 / $23.74 / $32.01	Professional	26	$12.40	$23.74	$32.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.18 / $34.43 / $46.58	Professional	TC	$22.18	$34.43	$46.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $32.34 / $35.27	Professional		$12.22	$32.34	$35.27
United Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $48.35 / $89.57	Professional		$30.70	$48.35	$89.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $18.84 / $37.36	Professional	26	$13.22	$18.84	$37.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $29.51 / $52.20	Professional	TC	$18.84	$29.51	$52.20