Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $10.96 / $70.79	Facility	26	$10.72	$10.96	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $114.82	Professional		$41.69	$64.57	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.14 / $38.02	Professional	26	$10.00	$15.14	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $41.69 / $75.86	Professional	TC	$30.90	$41.69	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $66.07	Professional		$30.90	$39.81	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.02 / $20.42	Professional	26	$9.33	$12.02	$20.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $34.67 / $52.48	Professional	TC	$25.70	$34.67	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $66.07 / $95.50	Professional		$36.31	$66.07	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $20.89 / $30.90	Professional	26	$10.00	$20.89	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $46.77 / $66.07	Professional	TC	$27.54	$46.77	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $33.11	Professional		$29.51	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $95.50	Professional		$38.90	$51.29	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.14 / $28.18	Professional	26	$12.02	$15.14	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $35.48 / $64.57	Professional	TC	$25.70	$35.48	$64.57