Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $16.60 / $16.60	Facility	26	$16.60	$16.60	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $117.49	Professional		$32.36	$52.48	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.60 / $31.62	Professional	26	$10.00	$16.60	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $34.67 / $77.62	Professional	TC	$21.88	$34.67	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $42.66	Professional		$27.54	$32.36	$42.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.47 / $14.79	Professional	26	$9.12	$10.47	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $28.18 / $33.11	Professional	TC	$28.18	$28.18	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $77.62	Professional		$42.66	$60.26	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $20.42 / $26.30	Professional	26	$14.45	$20.42	$26.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $39.81 / $51.29	Professional	TC	$28.18	$39.81	$51.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.45	Facility	26	$14.13	$14.13	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $48.98 / $100.00	Professional		$31.62	$48.98	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $16.60 / $33.11	Professional	26	$11.48	$16.60	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $79.43	Professional	TC	$25.70	$37.15	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $60.26	Professional		$33.11	$43.65	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $19.50	Professional	26	$10.00	$12.88	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.20 / $42.66	Professional	TC	$22.39	$30.20	$42.66