Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $16.60 / $16.60	Facility	26	$12.02	$16.60	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $109.65	Professional		$30.20	$46.77	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.98 / $33.88	Professional	26	$10.00	$16.98	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.84 / $58.88	Professional	TC	$19.50	$28.84	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $43.65	Professional		$34.67	$34.67	$43.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $10.72 / $13.49	Professional	26	$10.72	$10.72	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $25.70 / $43.65	Professional	TC	$25.70	$25.70	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $51.29	Professional		$28.18	$39.81	$51.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.18 / $16.98	Professional	26	$9.33	$13.18	$16.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.92 / $33.88	Professional	TC	$18.62	$26.92	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $91.20	Professional		$31.62	$45.71	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.60 / $32.36	Professional	26	$12.02	$16.60	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $70.79	Professional	TC	$22.91	$32.36	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $57.54	Professional		$30.20	$39.81	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.18 / $19.95	Professional	26	$10.23	$13.18	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.30 / $37.15	Professional	TC	$19.50	$26.30	$37.15