Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $25.60 / $51.21	Facility		$8.77	$25.60	$51.21
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $63.92 / $63.92 / $63.92	Facility	TC	$63.92	$63.92	$63.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $67.04 / $74.37	Professional		$30.19	$67.04	$74.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $19.69 / $41.22	Professional	26	$8.66	$19.69	$41.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.53 / $28.46 / $52.52	Professional	TC	$21.53	$28.46	$52.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $22.67 / $116.06	Professional		$18.36	$22.67	$116.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $6.50 / $25.30	Professional	26	$5.09	$6.50	$25.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.35 / $16.35 / $16.35	Professional	TC	$16.35	$16.35	$16.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Professional		$58.90	$58.90	$58.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $34.59 / $105.16	Professional		$18.37	$34.59	$105.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.21 / $12.34 / $22.43	Professional	26	$5.21	$12.34	$22.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.60 / $24.76 / $84.74	Professional	TC	$13.60	$24.76	$84.74
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 $24.48 / $46.05 / $102.29	Professional		$24.48	$46.05	$102.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $11.91 / $24.48	Professional	26	$6.86	$11.91	$24.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.61 / $30.73 / $70.81	Professional	TC	$15.61	$30.73	$70.81