Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.40 / $21.34 / $27.22	Facility	26	$12.40	$21.34	$27.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $55.07 / $112.13	Professional		$46.93	$55.07	$112.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $13.40 / $21.34	Professional	26	$11.32	$13.40	$21.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $38.65 / $69.03	Professional	TC	$34.14	$38.65	$69.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $20.23 / $30.65	Professional	26	$9.76	$20.23	$30.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $71.34 / $96.39	Professional		$45.90	$71.34	$96.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $21.03 / $28.07	Professional	26	$11.20	$21.03	$28.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.08 / $50.87 / $67.37	Professional	TC	$32.08	$50.87	$67.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $32.34 / $46.23	Professional		$11.03	$32.34	$46.23
United Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $60.31 / $107.65	Professional		$39.13	$60.31	$107.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $15.90 / $29.99	Professional	26	$11.26	$15.90	$29.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.21 / $43.59 / $75.42	Professional	TC	$27.21	$43.59	$75.42