Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $6.61 / $12.02	Facility	26	$6.61	$6.61	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $46.77	Professional		$19.05	$25.12	$46.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $19.05	Professional	26	$6.03	$8.91	$19.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $16.98 / $30.20	Professional	TC	$12.88	$16.98	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.78 / $34.67	Professional		$15.85	$17.78	$34.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.94 / $18.20	Professional	26	$6.17	$7.94	$18.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $11.75 / $11.75	Professional	TC	$11.75	$11.75	$11.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $44.67	Professional		$16.98	$30.90	$44.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $10.96 / $15.14	Professional	26	$6.17	$10.96	$15.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $19.95 / $29.51	Professional	TC	$12.02	$19.95	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $32.36 / $33.11	Professional		$12.30	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $44.67	Professional		$18.20	$24.55	$44.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.32 / $15.85	Professional	26	$6.46	$8.32	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $16.22 / $28.84	Professional	TC	$11.75	$16.22	$28.84