Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $26.92 / $50.12	Facility	26	$25.12	$26.92	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $107.15	Professional		$47.86	$63.10	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.84 / $44.67	Professional	26	$22.91	$28.84	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $32.36 / $61.66	Professional	TC	$16.98	$32.36	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $117.49	Professional		$54.95	$66.07	$117.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $30.90 / $60.26	Professional	26	$26.30	$30.90	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $87.10	Professional		$48.98	$67.61	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $50.12	Professional	26	$28.18	$38.02	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $27.54 / $43.65	Professional	TC	$19.05	$27.54	$43.65
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 $41.69 / $53.70 / $85.11	Professional		$41.69	$53.70	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.90 / $47.86	Professional	26	$22.39	$30.90	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $25.12 / $40.74	Professional	TC	$16.60	$25.12	$40.74