Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.83 / $14.08 / $30.91	Facility	26	$12.83	$14.08	$30.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $61.60 / $78.56	Professional		$33.03	$61.60	$78.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $15.48 / $30.91	Professional	26	$12.84	$15.48	$30.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $39.09 / $51.77	Professional	TC	$20.19	$39.09	$51.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $81.93 / $81.93	Professional		$81.93	$81.93	$81.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.78 / $13.88 / $29.50	Professional	26	$2.78	$13.88	$29.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Professional		$84.00	$84.00	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $64.37 / $107.62	Professional		$32.08	$64.37	$107.62
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 $18.91 / $36.36 / $82.47	Professional	TC	$18.91	$36.36	$82.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $32.34 / $32.34	Professional		$12.65	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $44.47 / $96.00	Professional		$34.08	$44.47	$96.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.49 / $17.87 / $33.29	Professional	26	$12.49	$17.87	$33.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.63 / $26.99 / $73.53	Professional	TC	$19.63	$26.99	$73.53