Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.47 / $15.49	Facility	26	$10.00	$10.47	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $138.04	Professional		$33.88	$48.98	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.98 / $54.95	Professional	26	$10.00	$16.98	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $64.57	Professional	TC	$21.88	$28.84	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $75.86	Professional		$28.84	$33.88	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $13.49 / $20.89	Professional	26	$12.30	$13.49	$20.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $25.70 / $40.74	Professional	TC	$25.12	$25.70	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $81.28	Professional		$41.69	$46.77	$81.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $22.39 / $33.11	Professional	26	$12.88	$22.39	$33.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.20 / $43.65	Professional	TC	$19.95	$30.20	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $72.44	Professional		$36.31	$47.86	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.85 / $26.30	Professional	26	$12.02	$15.85	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.90 / $47.86	Professional	TC	$23.99	$30.90	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $79.43	Professional		$34.67	$44.67	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.49 / $25.70	Professional	26	$12.30	$15.49	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $29.51 / $53.70	Professional	TC	$21.88	$29.51	$53.70