Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.19 / $17.19 / $17.19	Facility	26	$17.19	$17.19	$17.19
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.23 / $36.54 / $249.99	Facility	TC	$29.23	$36.54	$249.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $36.93 / $53.72	Professional		$31.16	$36.93	$53.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $12.58 / $17.19	Professional	26	$10.14	$12.58	$17.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.02 / $24.84 / $36.52	Professional	TC	$21.02	$24.84	$36.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $12.01 / $12.01	Professional	26	$12.01	$12.01	$12.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $56.14 / $66.25	Professional		$40.98	$56.14	$66.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.09 / $27.52 / $32.47	Professional	26	$20.09	$27.52	$32.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.62 / $33.77	Professional	TC	$20.89	$28.62	$33.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $41.53 / $69.84	Professional		$29.10	$41.53	$69.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.58 / $17.07 / $27.44	Professional	26	$10.58	$17.07	$27.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $28.59 / $47.58	Professional	TC	$21.58	$28.59	$47.58
United Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $38.17 / $53.44	Professional		$30.35	$38.17	$53.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.56 / $13.53 / $19.85	Professional	26	$10.56	$13.53	$19.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.04 / $25.01 / $33.35	Professional	TC	$19.04	$25.01	$33.35