Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $79.43 / $104.71	Facility		$5.25	$79.43	$104.71
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $12.30	Facility	26	$7.08	$7.08	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $27.54	Professional		$8.91	$12.88	$27.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $15.85	Professional	26	$6.03	$7.94	$15.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.02 / $6.03	Professional	TC	$2.00	$3.02	$6.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.12 / $14.79	Professional		$8.13	$9.12	$14.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $19.05 / $25.12	Facility		$4.27	$19.05	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.49 / $27.54	Professional		$8.51	$15.49	$27.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $10.96 / $18.62	Professional	26	$5.62	$10.96	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.57 / $4.57 / $9.12	Professional	TC	$2.57	$4.57	$9.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $32.36 / $33.11	Professional		$6.31	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $45.71 / $57.54	Facility		$31.62	$45.71	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $21.88	Professional		$10.00	$12.59	$21.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.71 / $16.22	Professional	26	$7.08	$8.71	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.63 / $3.80 / $6.31	Professional	TC	$2.63	$3.80	$6.31