Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.59 / $19.96 / $45.90	Facility	26	$9.59	$19.96	$45.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $64.06 / $85.12	Professional		$39.88	$64.06	$85.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $14.16 / $20.05	Professional	26	$9.82	$14.16	$20.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.65 / $48.89 / $55.27	Professional	TC	$29.65	$48.89	$55.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $42.35 / $73.13	Professional		$30.25	$42.35	$73.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $12.26 / $13.98	Professional	26	$10.57	$12.26	$13.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.84 / $22.84 / $22.84	Professional	TC	$22.84	$22.84	$22.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $72.94 / $109.79	Professional		$43.16	$72.94	$109.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $18.42 / $30.45	Professional	26	$11.05	$18.42	$30.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.34 / $52.56 / $76.56	Professional	TC	$31.34	$52.56	$76.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $32.34 / $32.34	Professional		$29.92	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $63.58 / $97.36	Professional		$51.03	$63.58	$97.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.41 / $14.69 / $23.22	Professional	26	$11.41	$14.69	$23.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.54 / $49.02 / $73.90	Professional	TC	$37.54	$49.02	$73.90