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 $39.81 / $64.57 / $131.83	Professional		$39.81	$64.57	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $22.39 / $38.02	Professional	26	$10.72	$22.39	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $47.86 / $83.18	Professional	TC	$28.18	$47.86	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $63.10	Professional		$34.67	$40.74	$63.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.49 / $18.20	Professional	26	$9.55	$13.49	$18.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $37.15 / $52.48	Professional	TC	$21.88	$37.15	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $100.00	Professional		$53.70	$77.62	$100.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $25.12 / $32.36	Professional	26	$17.38	$25.12	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $52.48 / $67.61	Professional	TC	$37.15	$52.48	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $112.20	Professional		$35.48	$57.54	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.05 / $37.15	Professional	26	$12.88	$19.05	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $43.65 / $93.33	Professional	TC	$30.20	$43.65	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $72.44	Professional		$37.15	$46.77	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.18 / $22.39	Professional	26	$10.23	$13.18	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $33.88 / $51.29	Professional	TC	$26.30	$33.88	$51.29