Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.22 / $14.22 / $23.94	Facility	26	$14.22	$14.22	$23.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $46.23 / $71.50	Professional		$40.76	$46.23	$71.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.36 / $14.22 / $23.94	Professional	26	$12.36	$14.22	$23.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.75 / $32.90 / $47.56	Professional	TC	$27.75	$32.90	$47.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.85 / $27.85 / $27.85	Professional	26	$27.85	$27.85	$27.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $54.07 / $72.70	Professional		$40.19	$54.07	$72.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.33 / $16.94 / $24.55	Professional	26	$12.33	$16.94	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.46 / $36.27 / $51.81	Professional	TC	$27.46	$36.27	$51.81
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 $34.06 / $44.45 / $67.79	Professional		$34.06	$44.45	$67.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.08 / $14.29 / $22.08	Professional	26	$11.08	$14.29	$22.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.84 / $30.56 / $48.06	Professional	TC	$22.84	$30.56	$48.06