Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.05 / $13.55 / $32.00	Facility	26	$11.05	$13.55	$32.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $43.47 / $81.09	Professional		$30.91	$43.47	$81.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $12.80 / $26.60	Professional	26	$11.05	$12.80	$26.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.90 / $28.86 / $51.27	Professional	TC	$22.90	$28.86	$51.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $35.96 / $82.71	Professional		$28.21	$35.96	$82.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.39 / $11.74 / $29.35	Professional	26	$9.39	$11.74	$29.35
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $24.50 / $24.50	Professional	TC	$19.38	$24.50	$24.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $53.29 / $74.04	Professional		$32.60	$53.29	$74.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $20.13 / $26.75	Professional	26	$10.94	$20.13	$26.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $33.86 / $48.51	Professional	TC	$20.93	$33.86	$48.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $32.34 / $32.36	Professional		$10.69	$32.34	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $44.69 / $82.56	Professional		$30.55	$44.69	$82.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.88 / $15.43 / $28.08	Professional	26	$10.88	$15.43	$28.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.04 / $27.79 / $51.23	Professional	TC	$19.04	$27.79	$51.23