Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $23.99	Facility	26	$14.13	$14.13	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $112.20	Professional		$50.12	$64.57	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $38.02	Professional	26	$12.02	$16.98	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $46.77 / $75.86	Professional	TC	$36.31	$46.77	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $63.10	Professional		$36.31	$48.98	$63.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $13.80 / $23.99	Professional	26	$11.22	$13.80	$23.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	TC	$44.67	$44.67	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $107.15	Professional		$42.66	$74.13	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $21.88 / $31.62	Professional	26	$10.72	$21.88	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $52.48 / $72.44	Professional	TC	$31.62	$52.48	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $34.67	Professional		$32.36	$33.11	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $109.65	Professional		$42.66	$60.26	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.38 / $32.36	Professional	26	$12.88	$17.38	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $43.65 / $75.86	Professional	TC	$29.51	$43.65	$75.86