Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.44 / $19.42 / $26.21	Facility	26	$13.44	$19.42	$26.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $67.39 / $82.26	Professional		$45.22	$67.39	$82.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.18 / $16.17 / $20.75	Professional	26	$11.18	$16.17	$20.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.04 / $51.21 / $61.87	Professional	TC	$34.04	$51.21	$61.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $39.93 / $70.20	Professional		$39.93	$39.93	$70.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $10.76 / $13.51	Professional	26	$10.76	$10.76	$13.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $102.00 / $120.36	Professional		$74.45	$102.00	$120.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.54 / $29.50 / $34.81	Professional	26	$21.54	$29.50	$34.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.93 / $72.50 / $85.55	Professional	TC	$52.93	$72.50	$85.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.94 / $19.94 / $20.12	Facility	26	$19.94	$19.94	$20.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $76.55 / $147.46	Professional		$47.23	$76.55	$147.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $21.08 / $45.80	Professional	26	$11.88	$21.08	$45.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.65 / $54.83 / $111.36	Professional	TC	$35.65	$54.83	$111.36
United Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $56.05 / $87.84	Professional		$45.22	$56.05	$87.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.20 / $14.93 / $23.56	Professional	26	$12.20	$14.93	$23.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.67 / $40.27 / $64.39	Professional	TC	$32.67	$40.27	$64.39