Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.50 / $13.69 / $30.06	Facility	26	$12.50	$13.69	$30.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $77.48 / $118.06	Professional		$52.06	$77.48	$118.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $17.97 / $30.06	Professional	26	$12.51	$17.97	$30.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.08 / $63.78 / $88.01	Professional	TC	$40.08	$63.78	$88.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $48.13 / $119.74	Professional		$41.65	$48.13	$119.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $13.51 / $26.55	Professional	26	$10.83	$13.51	$26.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $87.29 / $122.86	Professional		$50.01	$87.29	$122.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.27 / $26.79 / $34.56	Professional	26	$12.27	$26.79	$34.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.50 / $62.56 / $89.80	Professional	TC	$36.50	$62.56	$89.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $32.34 / $46.85	Professional		$12.16	$32.34	$46.85
United Facility/Professional Professional Modifier Low / Median / High Price $50.69 / $65.36 / $119.05	Professional		$50.69	$65.36	$119.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $17.66 / $36.09	Professional	26	$13.50	$17.66	$36.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.04 / $46.51 / $85.93	Professional	TC	$37.04	$46.51	$85.93