Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.32 / $13.87 / $27.22	Facility	26	$11.32	$13.87	$27.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $59.46 / $101.58	Professional		$42.34	$59.46	$101.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $15.10 / $27.36	Professional	26	$11.32	$15.10	$27.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.02 / $42.47 / $68.01	Professional	TC	$31.02	$42.47	$68.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $36.71 / $105.52	Professional		$36.71	$36.71	$105.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $12.01 / $23.49	Professional	26	$9.61	$12.01	$23.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.43 / $34.26 / $37.94	Professional	TC	$28.43	$34.26	$37.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $76.00	Professional		$76.00	$76.00	$76.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $64.63 / $99.77	Professional		$40.22	$64.63	$99.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $23.46 / $30.97	Professional	26	$10.94	$23.46	$30.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.87 / $44.38 / $69.15	Professional	TC	$28.87	$44.38	$69.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $32.34 / $41.29	Professional		$10.81	$32.34	$41.29
United Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $54.85 / $101.32	Professional		$40.22	$54.85	$101.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $16.00 / $31.05	Professional	26	$12.63	$16.00	$31.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.10 / $37.18 / $70.64	Professional	TC	$26.10	$37.18	$70.64