Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	TC	$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $120.23	Professional		$43.65	$64.57	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.70 / $51.29	Professional	26	$18.20	$25.70	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $67.61	Professional	TC	$25.70	$36.31	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $186.21	Professional		$36.31	$36.31	$186.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.49 / $79.43	Professional	26	$12.59	$15.49	$79.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $18.62 / $18.62	Professional	TC	$18.62	$18.62	$18.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $181.97	Professional		$30.90	$54.95	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $29.51 / $107.15	Professional	26	$12.59	$29.51	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $30.20 / $75.86	Professional	TC	$17.38	$30.20	$75.86
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 $38.90 / $69.18 / $173.78	Professional		$38.90	$69.18	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $31.62 / $77.62	Professional	26	$16.98	$31.62	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $39.81 / $91.20	Professional	TC	$22.39	$39.81	$91.20