Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.69 / $18.87 / $35.54	Facility	26	$17.69	$18.87	$35.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $70.43 / $97.65	Professional		$49.40	$70.43	$97.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.59 / $24.93 / $47.00	Professional	26	$16.59	$24.93	$47.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.25 / $47.72 / $60.80	Professional	TC	$30.25	$47.72	$60.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $107.75 / $107.75	Professional		$107.75	$107.75	$107.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.35 / $18.05 / $40.29	Professional	26	$15.35	$18.05	$40.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $84.67 / $121.54	Professional		$49.42	$84.67	$121.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.25 / $26.96 / $44.30	Professional	26	$18.25	$26.96	$44.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.95 / $54.83 / $82.63	Professional	TC	$31.95	$54.83	$82.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $32.34 / $32.34	Professional		$24.28	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $70.84 / $165.22	Professional		$47.42	$70.84	$165.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $21.95 / $53.39	Professional	26	$16.07	$21.95	$53.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $41.77 / $107.58	Professional	TC	$29.66	$41.77	$107.58