Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.92 / $19.57	Facility	26	$8.11	$8.92	$19.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $56.74 / $110.31	Professional		$30.47	$56.74	$110.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $9.92 / $19.57	Professional	26	$8.65	$9.92	$19.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.35 / $50.77 / $96.77	Professional	TC	$22.35	$50.77	$96.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $27.72 / $33.42	Professional		$26.74	$27.72	$33.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.65 / $21.63	Professional	26	$6.92	$8.65	$21.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Professional		$108.00	$108.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $64.81 / $162.85	Professional		$31.82	$64.81	$162.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $15.54 / $21.53	Professional	26	$8.02	$15.54	$21.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $47.65 / $133.08	Professional	TC	$23.78	$47.65	$133.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $32.34 / $32.34	Professional		$7.88	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $44.45 / $152.96	Professional		$34.85	$44.45	$152.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $10.91 / $20.22	Professional	26	$6.96	$10.91	$20.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.52 / $32.95 / $126.51	Professional	TC	$25.52	$32.95	$126.51