Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.35 / $22.99 / $29.32	Facility	26	$13.35	$22.99	$29.32
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.29 / $60.19 / $76.03	Facility	TC	$33.29	$60.19	$76.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $53.66 / $102.43	Professional		$42.95	$53.66	$102.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.20 / $14.02 / $29.32	Professional	26	$12.20	$14.02	$29.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.00 / $75.00 / $75.00	Professional	50	$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.75 / $35.96 / $73.09	Professional	TC	$30.75	$35.96	$73.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $36.78 / $42.25	Professional		$36.78	$36.78	$42.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $12.94 / $32.35	Professional	26	$10.35	$12.94	$32.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $74.00	Professional		$74.00	$74.00	$74.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $65.51 / $91.40	Professional		$40.76	$65.51	$91.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.07 / $22.11 / $29.52	Professional	26	$12.07	$22.11	$29.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $44.85 / $60.88	Professional	TC	$28.94	$44.85	$60.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $32.34 / $41.38	Professional		$11.79	$32.34	$41.38
United Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $54.89 / $104.33	Professional		$35.36	$54.89	$104.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $17.13 / $32.31	Professional	26	$11.84	$17.13	$32.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.59 / $38.40 / $68.15	Professional	TC	$24.59	$38.40	$68.15