Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.07 / $22.04 / $48.40	Facility	26	$20.07	$22.04	$48.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $73.37 / $93.58	Professional		$39.53	$73.37	$93.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $31.12 / $48.40	Professional	26	$18.01	$31.12	$48.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.10 / $35.42 / $67.65	Professional	TC	$19.10	$35.42	$67.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $34.92 / $54.56	Professional		$34.92	$34.92	$54.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $21.63 / $54.08	Professional	26	$17.30	$21.63	$54.08
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $18.72 / $22.02	Professional	TC	$18.72	$18.72	$22.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Professional		$137.00	$137.00	$137.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $66.55 / $169.13	Professional		$35.47	$66.55	$169.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.64 / $29.48 / $43.31	Professional	26	$17.64	$29.48	$43.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $33.29 / $127.24	Professional	TC	$17.89	$33.29	$127.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $32.34 / $32.34	Professional		$19.80	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $59.33 / $131.07	Professional		$41.04	$59.33	$131.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $26.02 / $39.40	Professional	26	$17.82	$26.02	$39.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $27.49 / $91.81	Professional	TC	$19.71	$27.49	$91.81