Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $100.00	Professional		$37.15	$53.70	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.90 / $66.07	Professional	26	$22.91	$38.90	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $18.20 / $33.11	Professional	TC	$12.88	$18.20	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $21.38 / $79.43	Professional	26	$16.22	$21.38	$79.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $10.00 / $10.00	Professional	TC	$10.00	$10.00	$10.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $46.77 / $97.72	Professional		$25.12	$46.77	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $38.90 / $70.79	Professional	26	$16.22	$38.90	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $14.79 / $36.31	Professional	TC	$9.12	$14.79	$36.31
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 $31.62 / $57.54 / $97.72	Professional		$31.62	$57.54	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $37.15 / $64.57	Professional	26	$21.38	$37.15	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $19.50 / $38.90	Professional	TC	$10.23	$19.50	$38.90