Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $35.48	Facility	26	$19.95	$19.95	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $275.42	Professional		$38.90	$77.62	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $38.90 / $131.83	Professional	26	$19.95	$38.90	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.88 / $46.77	Professional	TC	$16.98	$21.88	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $85.11	Professional		$32.36	$41.69	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.99 / $41.69	Professional	26	$19.05	$23.99	$41.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $35.48 / $36.31	Professional	TC	$13.80	$35.48	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $147.91	Professional		$44.67	$102.33	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $32.36 / $47.86	Professional	26	$24.55	$32.36	$47.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $53.70 / $91.20	Professional	TC	$20.42	$53.70	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $114.82	Professional		$44.67	$64.57	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $32.36 / $50.12	Professional	26	$22.91	$32.36	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $69.18	Professional	TC	$19.05	$30.20	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $100.00	Professional		$38.90	$52.48	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $25.70 / $44.67	Professional	26	$20.42	$25.70	$44.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.99 / $58.88	Professional	TC	$18.20	$23.99	$58.88