Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.81 / $14.25 / $31.29	Facility	26	$12.81	$14.25	$31.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $66.58 / $133.57	Professional		$56.01	$66.58	$133.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.25 / $15.76 / $31.29	Professional	26	$14.25	$15.76	$31.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $50.05 / $102.28	Professional	TC	$42.39	$50.05	$102.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $148.88 / $148.88	Professional		$55.11	$148.88	$148.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $14.08 / $34.58	Professional	26	$11.09	$14.08	$34.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.25 / $46.25 / $46.25	Professional	TC	$46.25	$46.25	$46.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $83.92 / $116.29	Professional		$51.95	$83.92	$116.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.83 / $23.65 / $31.63	Professional	26	$12.83	$23.65	$31.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $62.11 / $83.61	Professional	TC	$39.72	$62.11	$83.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $32.34 / $53.60	Professional		$12.60	$32.34	$53.60
United Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $72.00 / $130.86	Professional		$47.16	$72.00	$130.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $17.76 / $34.49	Professional	26	$12.67	$17.76	$34.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.75 / $52.09 / $93.55	Professional	TC	$33.75	$52.09	$93.55