Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.07 / $18.07 / $18.07	Facility	26	$18.07	$18.07	$18.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $42.35 / $61.65	Professional		$35.36	$42.35	$61.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $12.73 / $18.07	Professional	26	$10.41	$12.73	$18.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.95 / $29.62 / $43.58	Professional	TC	$24.95	$29.62	$43.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $35.01 / $35.01	Professional		$31.05	$35.01	$35.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $9.86 / $9.86	Professional	26	$9.86	$9.86	$9.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.62 / $19.62 / $19.62	Professional	TC	$19.62	$19.62	$19.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $45.20 / $53.34	Professional		$33.00	$45.20	$53.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $13.89 / $16.39	Professional	26	$10.14	$13.89	$16.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.86 / $31.31 / $36.95	Professional	TC	$22.86	$31.31	$36.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.36 / $15.36 / $15.49	Facility	26	$15.36	$15.36	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $48.45 / $114.51	Professional		$33.15	$48.45	$114.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.87 / $17.80 / $32.99	Professional	26	$10.87	$17.80	$32.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.53 / $34.76 / $81.52	Professional	TC	$24.53	$34.76	$81.52
United Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $43.50 / $57.57	Professional		$34.18	$43.50	$57.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $13.72 / $18.86	Professional	26	$10.83	$13.72	$18.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.47 / $29.58 / $39.40	Professional	TC	$22.47	$29.58	$39.40