Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.15 / $33.27 / $62.60	Facility	26	$31.15	$33.27	$62.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $65.00 / $130.63	Professional		$51.83	$65.00	$130.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.14 / $35.75 / $62.60	Professional	26	$29.14	$35.75	$62.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $33.79 / $68.04	Professional	TC	$19.32	$33.79	$68.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $75.34 / $75.34	Professional		$75.34	$75.34	$75.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.44 / $36.99 / $38.31	Professional	26	$31.44	$36.99	$38.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $68.00	Professional		$68.00	$68.00	$68.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $84.13 / $105.61	Professional		$60.12	$84.13	$105.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.29 / $47.87 / $78.04	Professional	26	$34.29	$47.87	$78.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.88 / $28.37 / $47.40	Professional	TC	$17.88	$28.37	$47.40
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 $49.66 / $62.07 / $97.63	Professional		$49.66	$62.07	$97.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.56 / $38.17 / $57.70	Professional	26	$27.56	$38.17	$57.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $25.98 / $42.76	Professional	TC	$18.07	$25.98	$42.76