Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $38.02	Facility	26	$20.42	$20.42	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $151.36	Professional		$38.02	$50.12	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.99 / $48.98	Professional	26	$19.95	$23.99	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.88 / $41.69	Professional	TC	$16.98	$21.88	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $43.65	Professional		$30.90	$34.67	$43.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $23.99 / $56.23	Professional	26	$17.78	$23.99	$56.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $14.13 / $23.44	Professional	TC	$13.80	$14.13	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $102.33	Professional		$32.36	$60.26	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $33.11 / $48.98	Professional	26	$17.38	$33.11	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $28.18 / $61.66	Professional	TC	$14.79	$28.18	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $33.11	Professional		$19.50	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $114.82	Professional		$38.02	$51.29	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $25.70 / $45.71	Professional	26	$20.42	$25.70	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $61.66	Professional	TC	$16.98	$22.91	$61.66