Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $35.58 / $56.21	Professional		$22.79	$35.58	$56.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.19 / $11.86 / $23.72	Professional	26	$5.19	$11.86	$23.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.59 / $27.98 / $43.06	Professional	TC	$17.59	$27.98	$43.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $90.02	Professional		$17.57	$17.57	$90.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.48 / $4.26 / $19.55	Professional	26	$3.48	$4.26	$19.55
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.76 / $13.76 / $13.76	Professional	TC	$13.76	$13.76	$13.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $55.11 / $55.11	Professional		$55.11	$55.11	$55.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $24.58 / $82.42	Professional		$13.66	$24.58	$82.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.14 / $7.41 / $13.47	Professional	26	$3.14	$7.41	$13.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.33 / $19.16 / $70.20	Professional	TC	$11.33	$19.16	$70.20
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 $17.35 / $34.54 / $77.34	Professional		$17.35	$34.54	$77.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $7.94 / $16.82	Professional	26	$4.07	$7.94	$16.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.12 / $28.18 / $58.52	Professional	TC	$13.12	$28.18	$58.52