Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $21.38	Facility	26	$12.02	$12.02	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $85.11	Professional		$36.31	$44.67	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.88 / $26.92	Professional	26	$10.96	$12.88	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $47.86	Professional	TC	$22.91	$30.90	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $67.61	Professional		$28.18	$36.31	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.18 / $30.90	Professional	26	$10.47	$13.18	$30.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $33.11 / $45.71	Professional	TC	$33.11	$33.11	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $72.44	Professional		$30.20	$51.29	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $19.50 / $28.18	Professional	26	$10.47	$19.50	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $35.48 / $44.67	Professional	TC	$19.05	$35.48	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $33.11	Professional		$23.99	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $77.62	Professional		$30.20	$44.67	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $25.70	Professional	26	$11.22	$14.45	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $51.29	Professional	TC	$18.20	$28.84	$51.29