Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.32 / $20.32 / $20.32	Facility	26	$20.32	$20.32	$20.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.44 / $63.20 / $93.22	Professional		$53.44	$63.20	$93.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.22 / $14.66 / $21.33	Professional	26	$12.22	$14.66	$21.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.22 / $48.54 / $71.89	Professional	TC	$41.22	$48.54	$71.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $71.45 / $71.45	Professional		$51.29	$71.45	$71.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $11.02 / $27.16	Professional	26	$11.02	$11.02	$27.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $65.45 / $77.23	Professional		$47.79	$65.45	$77.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.59 / $15.87 / $18.73	Professional	26	$11.59	$15.87	$18.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.20 / $49.59 / $58.52	Professional	TC	$36.20	$49.59	$58.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $71.92 / $147.86	Professional		$48.27	$71.92	$147.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.12 / $20.28 / $36.94	Professional	26	$12.12	$20.28	$36.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.85 / $52.83 / $130.21	Professional	TC	$39.85	$52.83	$130.21
United Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $63.24 / $84.58	Professional		$48.00	$63.24	$84.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.45 / $15.87 / $22.23	Professional	26	$12.45	$15.87	$22.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.11 / $46.77 / $62.36	Professional	TC	$35.11	$46.77	$62.36