Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $26.92	Facility	26	$15.14	$15.14	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $70.79	Professional		$37.15	$45.71	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $33.88	Professional	26	$12.88	$15.85	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.84 / $44.67	Professional	TC	$22.91	$28.84	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $66.07 / $69.18	Professional		$35.48	$66.07	$69.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.49 / $38.90	Professional	26	$15.14	$15.49	$38.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $4.07 / $4.07 / $4.07	Professional	TC	$4.07	$4.07	$4.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $79.43	Professional		$31.62	$56.23	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $23.44 / $32.36	Professional	26	$13.18	$23.44	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $34.67 / $50.12	Professional	TC	$18.62	$34.67	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $33.11	Professional		$22.39	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $89.13	Professional		$32.36	$46.77	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.78 / $30.20	Professional	26	$12.88	$17.78	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $54.95	Professional	TC	$19.05	$28.18	$54.95