Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.48 / $26.66 / $34.00	Facility	26	$15.48	$26.66	$34.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $45.87 / $90.36	Professional		$37.59	$45.87	$90.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $16.57 / $34.00	Professional	26	$14.08	$16.57	$34.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $29.29 / $56.35	Professional	TC	$23.51	$29.29	$56.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $99.53 / $99.53	Professional		$99.53	$99.53	$99.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.07 / $37.58 / $37.58	Professional	26	$12.07	$37.58	$37.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $68.00	Professional		$68.00	$68.00	$68.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $57.69 / $78.44	Professional		$33.72	$57.69	$78.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $23.80 / $32.36	Professional	26	$13.97	$23.80	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $34.43 / $48.47	Professional	TC	$19.57	$34.43	$48.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $32.34 / $35.83	Professional		$13.69	$32.34	$35.83
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.11 / $92.70	Professional		$32.36	$47.11	$92.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.36 / $19.25 / $31.70	Professional	26	$13.36	$19.25	$31.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.01 / $29.95 / $55.33	Professional	TC	$19.01	$29.95	$55.33