Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.13 / $15.14	Facility	26	$7.94	$8.13	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $186.21	Professional		$30.20	$46.77	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.33 / $23.44	Professional	26	$7.94	$9.33	$23.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $120.23	Professional	TC	$22.91	$33.11	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $51.29	Professional		$23.44	$30.20	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.33 / $15.49	Professional	26	$7.24	$9.33	$15.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $24.55 / $42.66	Professional	TC	$20.89	$24.55	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $58.88 / $165.96	Professional		$28.84	$58.88	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $13.80 / $20.89	Professional	26	$7.59	$13.80	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $47.86 / $128.82	Professional	TC	$22.39	$47.86	$128.82
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 / $44.67 / $151.36	Professional		$32.36	$44.67	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.47 / $18.62	Professional	26	$6.92	$10.47	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.11 / $131.83	Professional	TC	$23.99	$33.11	$131.83