Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $23.99 / $38.02	Facility	26	$19.05	$23.99	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $70.79	Professional		$30.20	$39.81	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.12 / $63.10	Professional	26	$19.05	$25.12	$63.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $15.85 / $34.67	Professional	TC	$10.00	$15.85	$34.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.91 / $54.95	Professional	26	$17.78	$22.91	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $93.33 / $134.90	Professional		$33.11	$93.33	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $38.90 / $52.48	Professional	26	$20.42	$38.90	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $48.98 / $85.11	Professional	TC	$12.59	$48.98	$85.11
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 $43.65 / $60.26 / $144.54	Professional		$43.65	$60.26	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.18 / $54.95	Professional	26	$21.88	$28.18	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $38.02 / $91.20	Professional	TC	$20.42	$38.02	$91.20