Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $17.38 / $17.38	Facility	26	$12.02	$17.38	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $102.33	Professional		$25.12	$40.74	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $19.95 / $33.11	Professional	26	$10.00	$19.95	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.11 / $60.26	Professional	TC	$20.89	$33.11	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $46.77	Professional		$25.12	$28.84	$46.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $18.62	Professional	26	$9.33	$14.13	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $40.74	Professional	TC	$19.50	$26.92	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $72.44	Professional		$39.81	$56.23	$72.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $21.38 / $27.54	Professional	26	$15.14	$21.38	$27.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $34.67 / $44.67	Professional	TC	$24.55	$34.67	$44.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $14.45 / $14.79	Facility	26	$14.45	$14.45	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $93.33	Professional		$28.84	$43.65	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $16.98 / $34.67	Professional	26	$11.75	$16.98	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $69.18	Professional	TC	$21.88	$31.62	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $54.95	Professional		$29.51	$38.90	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.18 / $19.95	Professional	26	$10.00	$13.18	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $34.67	Professional	TC	$19.05	$25.70	$34.67