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 Professional Modifier Low / Median / High Price $30.92 / $36.93 / $53.72	Professional		$30.92	$36.93	$53.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.55 / $12.12 / $17.20	Professional	26	$10.55	$12.12	$17.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $24.84 / $36.52	Professional	TC	$21.84	$24.84	$36.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $30.92 / $75.66	Professional		$24.73	$30.92	$75.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $9.56 / $18.77	Professional	26	$9.38	$9.56	$18.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $33.26 / $33.26 / $33.26	Professional	TC	$33.26	$33.26	$33.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $66.67	Professional		$41.25	$56.50	$66.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.70 / $21.50 / $25.37	Professional	26	$15.70	$21.50	$25.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.55 / $35.00 / $41.30	Professional	TC	$25.55	$35.00	$41.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.59 / $14.59 / $14.72	Facility	26	$14.59	$14.59	$14.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $42.77 / $101.09	Professional		$29.24	$42.77	$101.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.33 / $16.93 / $35.00	Professional	26	$10.33	$16.93	$35.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.99 / $29.86 / $67.88	Professional	TC	$20.99	$29.86	$67.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $38.61 / $51.02	Professional		$30.30	$38.61	$51.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $13.21 / $17.88	Professional	26	$10.29	$13.21	$17.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $25.57 / $33.54	Professional	TC	$19.23	$25.57	$33.54