Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $10.15 / $22.30	Facility	26	$9.25	$10.15	$22.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $53.61 / $78.03	Professional		$32.70	$53.61	$78.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.14 / $22.30	Professional	26	$10.02	$11.14	$22.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $41.42 / $55.73	Professional	TC	$23.44	$41.42	$55.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $79.63 / $79.63	Professional		$79.63	$79.63	$79.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $9.84 / $24.60	Professional	26	$7.88	$9.84	$24.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $68.00	Professional		$68.00	$68.00	$68.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $57.48 / $82.62	Professional		$33.22	$57.48	$82.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $16.63 / $23.09	Professional	26	$9.17	$16.63	$23.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.05 / $41.33 / $61.59	Professional	TC	$24.05	$41.33	$61.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $32.34 / $32.34	Professional		$8.97	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $43.07 / $80.12	Professional		$33.79	$43.07	$80.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $12.71 / $22.76	Professional	26	$9.14	$12.71	$22.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.27 / $29.72 / $60.91	Professional	TC	$24.27	$29.72	$60.91