Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $14.36 / $31.53	Facility	26	$13.10	$14.36	$31.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $54.23 / $95.95	Professional		$40.07	$54.23	$95.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $15.13 / $31.53	Professional	26	$13.11	$15.13	$31.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.96 / $37.43 / $51.56	Professional	TC	$26.96	$37.43	$51.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $39.35 / $39.35	Professional		$39.35	$39.35	$39.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $14.15 / $27.76	Professional	26	$11.28	$14.15	$27.76
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.07 / $32.07 / $32.07	Professional	TC	$32.07	$32.07	$32.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Professional		$72.00	$72.00	$72.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $62.08 / $90.29	Professional		$38.67	$62.08	$90.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.87 / $24.07 / $31.70	Professional	26	$12.87	$24.07	$31.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.84 / $39.65 / $60.05	Professional	TC	$24.84	$39.65	$60.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $32.34 / $38.51	Professional		$12.74	$32.34	$38.51
United Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $52.13 / $93.96	Professional		$36.17	$52.13	$93.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.49 / $17.60 / $32.63	Professional	26	$12.49	$17.60	$32.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.97 / $33.60 / $61.33	Professional	TC	$22.97	$33.60	$61.33