Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.75 / $11.78 / $25.87	Facility	26	$10.75	$11.78	$25.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $61.53 / $105.00	Professional		$41.40	$61.53	$105.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $15.96 / $27.36	Professional	26	$10.75	$15.96	$27.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.94 / $41.64 / $71.87	Professional	TC	$29.94	$41.64	$71.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $35.35 / $101.61	Professional		$35.35	$35.35	$101.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $10.29 / $22.87	Professional	26	$9.35	$10.29	$22.87
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.21 / $36.39 / $41.43	Professional	TC	$35.21	$36.39	$41.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $77.00 / $77.00	Professional		$77.00	$77.00	$77.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.04 / $94.31	Professional		$40.74	$69.04	$94.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $23.46 / $30.63	Professional	26	$10.64	$23.46	$30.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $46.24 / $63.67	Professional	TC	$28.37	$46.24	$63.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $32.34 / $39.76	Professional		$10.52	$32.34	$39.76
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.78 / $97.03	Professional		$38.90	$52.78	$97.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.28 / $15.42 / $28.49	Professional	26	$12.28	$15.42	$28.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.27 / $37.10 / $68.54	Professional	TC	$26.27	$37.10	$68.54