Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.85 / $17.85 / $17.85	Facility	TC	$17.85	$17.85	$17.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.87 / $38.51	Professional		$15.49	$20.87	$38.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $21.49 / $42.98	Professional	26	$9.46	$21.49	$42.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.04 / $7.95 / $14.67	Professional	TC	$6.04	$7.95	$14.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $8.99 / $11.19	Professional		$8.99	$8.99	$11.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $6.90 / $27.60	Professional	26	$6.25	$6.90	$27.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $4.29 / $4.29 / $4.29	Professional	TC	$4.29	$4.29	$4.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $28.65 / $28.65	Professional		$28.65	$28.65	$28.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $17.87 / $36.59	Professional		$9.21	$17.87	$36.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.58 / $13.47 / $24.50	Professional	26	$5.58	$13.47	$24.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.67 / $6.84 / $13.53	Professional	TC	$3.67	$6.84	$13.53
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 $11.92 / $23.45 / $49.63	Professional		$11.92	$23.45	$49.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $12.99 / $27.18	Professional	26	$7.51	$12.99	$27.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.40 / $7.96 / $15.33	Professional	TC	$4.40	$7.96	$15.33