Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.57 / $13.04 / $16.63	Facility	26	$7.57	$13.04	$16.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.89 / $32.09 / $40.53	Facility	TC	$17.89	$32.09	$40.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $26.85 / $43.66	Professional		$23.57	$26.85	$43.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $7.84 / $13.04	Professional	26	$6.90	$7.84	$13.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $19.19 / $31.60	Professional	TC	$16.67	$19.19	$31.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $6.25 / $8.56	Professional	26	$5.88	$6.25	$8.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $43.00	Professional		$43.00	$43.00	$43.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $38.49 / $51.93	Professional		$23.91	$38.49	$51.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $12.33 / $16.51	Professional	26	$6.84	$12.33	$16.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.61 / $25.75 / $34.89	Professional	TC	$16.61	$25.75	$34.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $32.34 / $32.34	Professional		$6.70	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $31.57 / $53.92	Professional		$21.11	$31.57	$53.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $9.74 / $17.97	Professional	26	$6.90	$9.74	$17.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.12 / $21.74 / $40.04	Professional	TC	$14.12	$21.74	$40.04