Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $14.36 / $31.53	Facility	26	$13.10	$14.36	$31.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $53.00 / $100.92	Professional		$42.24	$53.00	$100.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $14.39 / $24.72	Professional	26	$13.11	$14.39	$24.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.12 / $38.79 / $55.55	Professional	TC	$29.12	$38.79	$55.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $44.72 / $44.72	Professional		$41.16	$44.72	$44.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $14.15 / $26.78	Professional	26	$11.28	$14.15	$26.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.45 / $24.45 / $24.45	Professional	TC	$24.45	$24.45	$24.45
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 $40.70 / $66.62 / $99.42	Professional		$40.70	$66.62	$99.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.13 / $24.11 / $31.96	Professional	26	$13.13	$24.11	$31.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.82 / $44.67 / $68.54	Professional	TC	$26.82	$44.67	$68.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $32.34 / $40.25	Professional		$12.90	$32.34	$40.25
United Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $55.92 / $103.30	Professional		$41.02	$55.92	$103.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.94 / $18.26 / $32.19	Professional	26	$12.94	$18.26	$32.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.45 / $36.19 / $67.20	Professional	TC	$25.45	$36.19	$67.20