Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $20.89 / $33.11	Facility	26	$20.89	$20.89	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $181.97	Professional		$54.95	$69.18	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.05 / $44.67	Professional	26	$15.85	$19.05	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $44.67 / $67.61	Professional	TC	$37.15	$44.67	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $74.13	Professional		$53.70	$61.66	$74.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.05 / $43.65	Professional	26	$15.85	$19.05	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $109.65	Professional		$56.23	$81.28	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.30 / $35.48	Professional	26	$18.20	$26.30	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $53.70 / $75.86	Professional	TC	$38.90	$53.70	$75.86
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 $52.48 / $66.07 / $97.72	Professional		$52.48	$66.07	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $20.89 / $32.36	Professional	26	$16.60	$20.89	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $44.67 / $66.07	Professional	TC	$34.67	$44.67	$66.07