Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $14.45 / $14.45	Facility	26	$10.23	$14.45	$14.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $102.33	Professional		$30.90	$51.29	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.22 / $30.90	Professional	26	$8.91	$16.22	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $77.62	Professional	TC	$21.88	$36.31	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $44.67	Professional		$28.84	$30.20	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.88 / $15.49	Professional	26	$9.33	$12.88	$15.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $25.70 / $30.20	Professional	TC	$25.70	$25.70	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $89.13	Professional		$48.98	$69.18	$89.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.20 / $22.91	Professional	26	$12.59	$18.20	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $51.29 / $66.07	Professional	TC	$36.31	$51.29	$66.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.30	Facility	26	$12.02	$12.02	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $93.33	Professional		$29.51	$46.77	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.79 / $28.84	Professional	26	$10.00	$14.79	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $38.90 / $81.28	Professional	TC	$26.30	$38.90	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $64.57	Professional		$30.90	$38.02	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.96 / $16.60	Professional	26	$8.51	$10.96	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.92 / $47.86	Professional	TC	$21.88	$26.92	$47.86