Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.73 / $12.22 / $13.53	Facility	26	$6.73	$12.22	$13.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $6.93 / $13.53	Professional	26	$5.82	$6.93	$13.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.47 / $22.57 / $38.31	Professional	TC	$18.47	$22.57	$38.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.19 / $30.41 / $56.38	Professional	26	$28.19	$30.41	$56.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.01 / $35.01 / $49.11	Professional	26	$25.01	$35.01	$49.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.38 / $100.00 / $141.68	Professional	TC	$72.38	$100.00	$141.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $20.30 / $28.63	Professional	26	$20.30	$20.30	$28.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.75 / $68.94 / $81.09	Professional	TC	$56.75	$68.94	$81.09