Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $13.49 / $13.49	Facility	26	$9.55	$13.49	$13.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $89.13	Professional		$25.70	$39.81	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.49 / $29.51	Professional	26	$7.94	$13.49	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.70 / $53.70	Professional	TC	$16.22	$25.70	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $35.48	Professional		$20.42	$24.55	$35.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $7.59 / $14.45	Professional	26	$6.61	$7.59	$14.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $19.50 / $23.99	Professional	TC	$18.62	$19.50	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $66.07	Professional		$35.48	$51.29	$66.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.20 / $22.91	Professional	26	$12.59	$18.20	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $42.66	Professional	TC	$22.91	$33.11	$42.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.30	Facility	26	$12.02	$12.02	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $74.13	Professional		$25.12	$39.81	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.45 / $28.84	Professional	26	$9.77	$14.45	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $60.26	Professional	TC	$19.95	$28.84	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $48.98	Professional		$25.12	$33.11	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.72 / $15.85	Professional	26	$8.13	$10.72	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.39 / $31.62	Professional	TC	$16.98	$22.39	$31.62