Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $23.44	Facility	26	$12.88	$12.88	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $104.71	Professional		$41.69	$53.70	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $30.20	Professional	26	$12.02	$14.13	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $36.31 / $61.66	Professional	TC	$28.84	$36.31	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $53.70	Professional		$46.77	$46.77	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $10.96 / $11.48	Professional	26	$10.96	$10.96	$11.48
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 $39.81 / $67.61 / $104.71	Professional		$39.81	$67.61	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $20.89 / $29.51	Professional	26	$11.48	$20.89	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $50.12 / $74.13	Professional	TC	$29.51	$50.12	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $97.72	Professional		$36.31	$56.23	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.85 / $28.84	Professional	26	$10.72	$15.85	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.90 / $67.61	Professional	TC	$25.70	$38.90	$67.61