Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.02 / $3.02 / $5.01	Facility	26	$3.02	$3.02	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $30.90	Professional		$12.88	$19.95	$30.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.02 / $6.03	Professional	26	$2.00	$3.02	$6.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $15.85 / $23.99	Professional	TC	$10.96	$15.85	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.18 / $14.45	Professional		$11.48	$13.18	$14.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.29 / $2.63 / $3.16	Professional	26	$2.29	$2.63	$3.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $27.54 / $39.81	Professional		$15.85	$27.54	$39.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $6.17 / $9.55	Professional	26	$3.02	$6.17	$9.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $20.89 / $30.90	Professional	TC	$12.88	$20.89	$30.90
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 $18.20 / $23.99 / $35.48	Professional		$18.20	$23.99	$35.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.80 / $5.62 / $8.32	Professional	26	$3.80	$5.62	$8.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $18.20 / $28.18	Professional	TC	$14.45	$18.20	$28.18