Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $19.05 / $19.05	Facility	26	$13.49	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $147.91	Professional		$43.65	$77.62	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $20.89 / $47.86	Professional	26	$12.02	$20.89	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $51.29 / $104.71	Professional	TC	$30.20	$51.29	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $70.79	Professional		$38.90	$45.71	$70.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $16.60 / $20.42	Professional	26	$11.48	$16.60	$20.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $44.67 / $46.77	Professional	TC	$35.48	$44.67	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $117.49	Professional		$64.57	$91.20	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.84 / $37.15	Professional	26	$20.42	$28.84	$37.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $63.10 / $81.28	Professional	TC	$43.65	$63.10	$81.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $138.04	Professional		$43.65	$69.18	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.88 / $41.69	Professional	26	$14.79	$21.88	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $52.48 / $117.49	Professional	TC	$36.31	$52.48	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $87.10	Professional		$44.67	$57.54	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.49 / $26.30	Professional	26	$12.02	$15.49	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $42.66 / $61.66	Professional	TC	$31.62	$42.66	$61.66