Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $18.62 / $18.62	Facility	26	$18.62	$18.62	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $95.50	Professional		$28.84	$45.71	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $18.20 / $35.48	Professional	26	$10.00	$18.20	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $30.20 / $66.07	Professional	TC	$18.62	$30.20	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $33.11	Professional		$30.90	$30.90	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.45 / $20.89	Professional	26	$10.23	$14.45	$20.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $26.30 / $26.30	Professional	TC	$26.30	$26.30	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $74.13	Professional		$40.74	$57.54	$74.13
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 $25.70 / $36.31 / $46.77	Professional	TC	$25.70	$36.31	$46.77
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 $30.20 / $46.77 / $93.33	Professional		$30.20	$46.77	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $17.38 / $35.48	Professional	26	$11.75	$17.38	$35.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $72.44	Professional	TC	$22.91	$33.11	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $60.26	Professional		$30.90	$41.69	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.45 / $19.95	Professional	26	$10.96	$14.45	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $37.15	Professional	TC	$19.95	$26.92	$37.15