Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $64.57	Facility	26	$32.36	$32.36	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $134.90	Professional		$56.23	$66.07	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.90 / $57.54	Professional	26	$25.12	$30.90	$57.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $33.88 / $57.54	Professional	TC	$30.20	$33.88	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $72.44	Professional		$51.29	$57.54	$72.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $34.67 / $36.31	Professional	26	$25.12	$34.67	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $112.20	Professional		$56.23	$75.86	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.02 / $60.26	Professional	26	$28.18	$38.02	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.90 / $56.23	Professional	TC	$26.92	$38.90	$56.23
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 $48.98 / $63.10 / $102.33	Professional		$48.98	$63.10	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $31.62 / $51.29	Professional	26	$24.55	$31.62	$51.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $31.62 / $52.48	Professional	TC	$24.55	$31.62	$52.48