Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.47 / $51.14 / $64.00	Facility	26	$32.47	$51.14	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $65.63 / $113.39	Professional		$59.67	$65.63	$113.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $29.83 / $54.65	Professional	26	$26.64	$29.83	$54.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $34.90 / $58.74	Professional	TC	$33.03	$34.90	$58.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $51.53 / $51.53	Professional		$51.53	$51.53	$51.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $32.03 / $62.85	Professional	26	$25.12	$32.03	$62.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $77.48 / $118.83	Professional		$57.12	$77.48	$118.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.98 / $39.06 / $64.17	Professional	26	$27.98	$39.06	$64.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.10 / $38.49 / $58.87	Professional	TC	$27.10	$38.49	$58.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $65.22 / $106.68	Professional		$49.62	$65.22	$106.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.11 / $32.32 / $51.01	Professional	26	$25.11	$32.32	$51.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $33.00 / $52.33	Professional	TC	$24.83	$33.00	$52.33