Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	26	$20.42	$20.42	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $131.83	Professional		$36.31	$53.70	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $22.91 / $40.74	Professional	26	$12.02	$22.91	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.90 / $81.28	Professional	TC	$23.99	$38.90	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $40.74	Professional		$30.90	$33.88	$40.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.85 / $21.38	Professional	26	$12.59	$15.85	$21.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $34.67 / $34.67	Professional	TC	$34.67	$34.67	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $95.50	Professional		$52.48	$74.13	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.70 / $32.36	Professional	26	$17.78	$25.70	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $48.98 / $63.10	Professional	TC	$34.67	$48.98	$63.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $17.38 / $17.38	Facility	26	$17.38	$17.38	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $109.65	Professional		$38.02	$57.54	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $20.42 / $40.74	Professional	26	$14.13	$20.42	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $43.65 / $91.20	Professional	TC	$29.51	$43.65	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $70.79	Professional		$38.02	$48.98	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.85 / $23.99	Professional	26	$12.02	$15.85	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.88 / $47.86	Professional	TC	$24.55	$33.88	$47.86