Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.62 / $22.60 / $49.64	Facility	26	$20.62	$22.60	$49.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $50.36 / $89.23	Professional		$39.72	$50.36	$89.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $24.87 / $49.64	Professional	26	$20.74	$24.87	$49.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $25.42 / $39.60	Professional	TC	$17.48	$25.42	$39.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $30.97 / $58.55	Professional		$26.33	$30.97	$58.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.66 / $24.26 / $54.15	Professional	26	$21.66	$24.26	$54.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $97.00	Professional		$97.00	$97.00	$97.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $60.82 / $100.58	Professional		$34.75	$60.82	$100.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $33.36 / $48.35	Professional	26	$20.23	$33.36	$48.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.85 / $27.94 / $61.29	Professional	TC	$16.85	$27.94	$61.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $32.34 / $32.34	Professional		$19.48	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $51.61 / $102.06	Professional		$34.75	$51.61	$102.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $27.34 / $47.26	Professional	26	$19.95	$27.34	$47.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.95 / $24.09 / $54.22	Professional	TC	$16.95	$24.09	$54.22