Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $56.23	Professional		$20.89	$30.90	$56.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.98 / $7.08 / $23.99	Professional	26	$3.98	$7.08	$23.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $23.99 / $42.66	Professional	TC	$15.85	$23.99	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $89.13	Professional		$17.78	$17.78	$89.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.16 / $3.31 / $19.50	Professional	26	$3.16	$3.31	$19.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $12.30 / $12.30	Professional	TC	$12.30	$12.30	$12.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.55 / $83.18	Professional		$13.80	$24.55	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.16 / $7.41 / $13.49	Professional	26	$3.16	$7.41	$13.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $19.05 / $70.79	Professional	TC	$11.22	$19.05	$70.79
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 $17.38 / $32.36 / $77.62	Professional		$17.38	$32.36	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $7.24 / $14.45	Professional	26	$4.07	$7.24	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $26.30 / $58.88	Professional	TC	$13.18	$26.30	$58.88