Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.32 / $27.03 / $50.88	Facility	26	$25.32	$27.03	$50.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $59.31 / $117.10	Professional		$43.80	$59.31	$117.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.74 / $28.87 / $50.88	Professional	26	$23.74	$28.87	$50.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.88 / $32.79 / $66.23	Professional	TC	$17.88	$32.79	$66.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $66.29 / $66.29	Professional		$56.34	$66.29	$66.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.26 / $29.72 / $57.08	Professional	26	$25.26	$29.72	$57.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $57.00	Professional		$57.00	$57.00	$57.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $68.62 / $87.00	Professional		$50.84	$68.62	$87.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.87 / $39.15 / $55.00	Professional	26	$27.87	$39.15	$55.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.26 / $29.47 / $44.06	Professional	TC	$19.26	$29.47	$44.06
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 $43.89 / $53.21 / $85.72	Professional		$43.89	$53.21	$85.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.72 / $30.76 / $47.08	Professional	26	$22.72	$30.76	$47.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $25.01 / $40.29	Professional	TC	$16.64	$25.01	$40.29