Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.44 / $11.44 / $25.13	Facility	26	$10.44	$11.44	$25.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $46.60 / $80.33	Professional		$33.61	$46.60	$80.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $11.44 / $25.13	Professional	26	$9.75	$11.44	$25.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $35.11 / $45.40	Professional	TC	$23.17	$35.11	$45.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $82.50 / $82.50	Professional		$29.70	$82.50	$82.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $11.98 / $27.73	Professional	26	$8.93	$11.98	$27.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $19.82 / $19.82	Professional	TC	$19.82	$19.82	$19.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $61.00	Professional		$61.00	$61.00	$61.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $52.48 / $80.01	Professional		$32.72	$52.48	$80.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.34 / $15.99 / $21.79	Professional	26	$10.34	$15.99	$21.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.39 / $37.56 / $57.54	Professional	TC	$23.39	$37.56	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $32.34 / $32.34	Professional		$10.11	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $43.54 / $77.72	Professional		$29.15	$43.54	$77.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $13.99 / $21.97	Professional	26	$8.99	$13.99	$21.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.38 / $29.21 / $53.96	Professional	TC	$20.38	$29.21	$53.96