Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.69 / $23.56 / $30.06	Facility	26	$13.69	$23.56	$30.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $60.01 / $88.47	Professional		$42.17	$60.01	$88.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $14.86 / $30.06	Professional	26	$12.51	$14.86	$30.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $44.55 / $66.90	Professional	TC	$29.66	$44.55	$66.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $51.52	Professional		$32.22	$32.22	$51.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.62 / $10.62 / $11.03	Professional	26	$10.62	$10.62	$11.03
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 $43.57 / $73.86 / $105.79	Professional		$43.57	$73.86	$105.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $22.21 / $29.59	Professional	26	$12.10	$22.21	$29.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.46 / $53.11 / $74.52	Professional	TC	$31.46	$53.11	$74.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $58.05 / $142.97	Professional		$36.15	$58.05	$142.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.66 / $16.68 / $31.18	Professional	26	$10.66	$16.68	$31.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.38 / $39.90 / $77.94	Professional	TC	$24.38	$39.90	$77.94