Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.83 / $16.21 / $35.60	Facility	26	$14.83	$16.21	$35.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $72.25 / $144.69	Professional		$61.64	$72.25	$144.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.84 / $17.05 / $31.64	Professional	26	$14.84	$17.05	$31.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $54.32 / $114.07	Professional	TC	$46.00	$54.32	$114.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $54.19 / $54.19	Professional		$54.19	$54.19	$54.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.68 / $15.70 / $15.70	Professional	26	$12.68	$15.70	$15.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Professional		$110.00	$110.00	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.21 / $97.62 / $126.44	Professional		$60.21	$97.62	$126.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.67 / $25.82 / $35.68	Professional	26	$14.67	$25.82	$35.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.22 / $72.92 / $92.23	Professional	TC	$43.22	$72.92	$92.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $32.34 / $60.97	Professional		$14.31	$32.34	$60.97
United Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $83.77 / $145.43	Professional		$51.26	$83.77	$145.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.63 / $21.17 / $37.65	Professional	26	$14.63	$21.17	$37.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.63 / $61.31 / $103.68	Professional	TC	$36.63	$61.31	$103.68