Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.60 / $15.88 / $33.00	Facility	26	$8.60	$15.88	$33.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $38.49 / $65.00	Professional		$26.59	$38.49	$65.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $36.92 / $67.50 / $70.00	Professional	25	$36.92	$67.50	$70.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $8.88 / $15.88	Professional	26	$7.40	$8.88	$15.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.16 / $29.62 / $34.49	Professional	TC	$19.16	$29.62	$34.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $26.57 / $49.64	Professional		$21.26	$26.57	$49.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $9.43 / $11.12	Professional	26	$9.09	$9.43	$11.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Professional		$49.00	$49.00	$49.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $42.76 / $58.97	Professional		$30.10	$42.76	$58.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $11.42 / $16.36	Professional	26	$8.18	$11.42	$16.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.71 / $30.62 / $44.08	Professional	TC	$20.71	$30.62	$44.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $32.34 / $32.34	Professional		$21.02	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $37.70 / $59.24	Professional		$30.57	$37.70	$59.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $9.27 / $14.95	Professional	26	$7.36	$9.27	$14.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $28.48 / $46.20	Professional	TC	$21.94	$28.48	$46.20