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 / $24.39	Facility	26	$18.07	$18.07	$24.39
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.33 / $39.01 / $52.66	Facility	TC	$26.33	$39.01	$52.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $42.67 / $59.94	Professional		$32.90	$42.67	$59.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $14.49 / $18.97	Professional	26	$10.41	$14.49	$18.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.49 / $28.17 / $40.96	Professional	TC	$22.49	$28.17	$40.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $33.29 / $33.29	Professional		$33.29	$33.29	$33.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $12.34 / $16.35	Professional	26	$9.86	$12.34	$16.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $67.50 / $79.65	Professional		$49.28	$67.50	$79.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.35 / $26.50 / $31.27	Professional	26	$19.35	$26.50	$31.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.93 / $41.00 / $48.38	Professional	TC	$29.93	$41.00	$48.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.41 / $18.41 / $18.57	Facility	26	$18.41	$18.41	$18.57
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.18 / $29.18 / $29.44	Facility	TC	$29.18	$29.18	$29.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $51.85 / $106.65	Professional		$33.83	$51.85	$106.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.87 / $19.80 / $42.00	Professional	26	$10.87	$19.80	$42.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.73 / $35.58 / $73.66	Professional	TC	$23.73	$35.58	$73.66
United Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $42.51 / $62.55	Professional		$33.56	$42.51	$62.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $14.38 / $22.71	Professional	26	$11.10	$14.38	$22.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.46 / $27.55 / $41.08	Professional	TC	$22.46	$27.55	$41.08