Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $21.88 / $40.74	Facility	26	$19.95	$21.88	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $100.00	Professional		$43.65	$54.95	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $22.91 / $38.02	Professional	26	$18.62	$22.91	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.88 / $63.10	Professional	TC	$18.20	$33.88	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $77.62	Professional		$45.71	$60.26	$77.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $23.99 / $46.77	Professional	26	$21.38	$23.99	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $77.62	Professional		$44.67	$63.10	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.90 / $47.86	Professional	26	$22.39	$30.90	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.30 / $45.71	Professional	TC	$16.98	$26.30	$45.71
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 $38.02 / $48.98 / $77.62	Professional		$38.02	$48.98	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.12 / $38.90	Professional	26	$17.78	$25.12	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.70 / $41.69	Professional	TC	$16.22	$25.70	$41.69