Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.02 / $24.14 / $30.79	Facility	26	$14.02	$24.14	$30.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $60.35 / $108.96	Professional		$49.24	$60.35	$108.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.02 / $15.76 / $30.79	Professional	26	$14.02	$15.76	$30.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.43 / $43.20 / $86.14	Professional	TC	$36.43	$43.20	$86.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $41.52 / $48.65	Professional		$41.52	$41.52	$48.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $11.76 / $27.16	Professional	26	$11.02	$11.76	$27.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $75.83 / $105.90	Professional		$47.23	$75.83	$105.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.83 / $23.65 / $31.63	Professional	26	$12.83	$23.65	$31.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.79 / $53.92 / $73.22	Professional	TC	$34.79	$53.92	$73.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $32.34 / $47.39	Professional		$12.60	$32.34	$47.39
United Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $63.18 / $118.47	Professional		$42.98	$63.18	$118.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.08 / $17.86 / $34.47	Professional	26	$13.08	$17.86	$34.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.57 / $44.71 / $81.94	Professional	TC	$29.57	$44.71	$81.94