Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $17.78 / $17.78	Facility	26	$12.30	$17.78	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $128.82	Professional		$39.81	$67.61	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $22.91 / $38.90	Professional	26	$10.96	$22.91	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $48.98 / $87.10	Professional	TC	$28.84	$48.98	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $67.61	Professional		$33.88	$41.69	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.45 / $18.62	Professional	26	$9.77	$14.45	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $34.67 / $58.88	Professional	TC	$23.44	$34.67	$58.88
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 $17.38 / $25.12 / $32.36	Professional	26	$17.38	$25.12	$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 $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $114.82	Professional		$35.48	$56.23	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.05 / $38.90	Professional	26	$13.18	$19.05	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $42.66 / $91.20	Professional	TC	$28.84	$42.66	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $70.79	Professional		$37.15	$48.98	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.49 / $22.91	Professional	26	$10.47	$13.49	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $47.86	Professional	TC	$25.70	$33.88	$47.86