Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.45 / $6.00 / $13.18	Facility	26	$5.45	$6.00	$13.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.75 / $32.99 / $43.76	Facility	TC	$17.75	$32.99	$43.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $33.44 / $55.00	Professional		$23.20	$33.44	$55.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $6.11 / $13.18	Professional	26	$5.45	$6.11	$13.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.75 / $23.92 / $35.92	Professional	TC	$17.75	$23.92	$35.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $24.54 / $56.44	Professional		$19.64	$24.54	$56.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.63 / $5.83 / $14.58	Professional	26	$4.63	$5.83	$14.58
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.28 / $20.28 / $20.28	Professional	TC	$20.28	$20.28	$20.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $37.07 / $55.72	Professional		$23.59	$37.07	$55.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.40 / $9.78 / $13.01	Professional	26	$5.40	$9.78	$13.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $28.95 / $43.03	Professional	TC	$17.89	$28.95	$43.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $32.34 / $32.34	Professional		$5.31	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $29.81 / $51.30	Professional		$21.19	$29.81	$51.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.28 / $7.55 / $13.03	Professional	26	$5.28	$7.55	$13.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.51 / $22.44 / $36.81	Professional	TC	$15.51	$22.44	$36.81