Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.24 / $13.40 / $29.44	Facility	26	$12.24	$13.40	$29.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $74.42 / $118.06	Professional		$49.75	$74.42	$118.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $17.43 / $29.44	Professional	26	$12.24	$17.43	$29.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.52 / $51.20 / $83.48	Professional	TC	$37.52	$51.20	$83.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $48.65	Professional		$48.65	$48.65	$48.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $13.23 / $25.19	Professional	26	$10.60	$13.23	$25.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.00 / $92.00	Professional		$92.00	$92.00	$92.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $79.92 / $126.98	Professional		$48.25	$79.92	$126.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.27 / $27.23 / $35.92	Professional	26	$12.27	$27.23	$35.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.32 / $56.63 / $91.61	Professional	TC	$34.32	$56.63	$91.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $36.38	Professional		$32.34	$32.34	$36.38
United Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $64.44 / $116.66	Professional		$48.37	$64.44	$116.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $17.66 / $33.38	Professional	26	$14.13	$17.66	$33.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.70 / $45.83 / $85.93	Professional	TC	$32.70	$45.83	$85.93