Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.00 / $23.00 / $23.00	Facility	26	$23.00	$23.00	$23.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $68.16 / $99.35	Professional		$57.58	$68.16	$99.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $16.21 / $23.00	Professional	26	$13.22	$16.21	$23.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.36 / $52.63 / $76.34	Professional	TC	$44.36	$52.63	$76.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $54.19 / $59.33	Professional		$54.19	$54.19	$59.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.70 / $15.70 / $15.70	Professional	26	$15.70	$15.70	$15.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $73.73 / $87.00	Professional		$53.82	$73.73	$87.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $17.95 / $21.18	Professional	26	$13.10	$17.95	$21.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.72 / $55.78 / $65.81	Professional	TC	$40.72	$55.78	$65.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $79.48 / $187.98	Professional		$59.94	$79.48	$187.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $22.14 / $42.06	Professional	26	$13.86	$22.14	$42.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.42 / $58.31 / $145.91	Professional	TC	$43.42	$58.31	$145.91
United Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $72.42 / $95.71	Professional		$52.04	$72.42	$95.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $17.95 / $24.78	Professional	26	$14.08	$17.95	$24.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.11 / $54.89 / $73.19	Professional	TC	$38.11	$54.89	$73.19