Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.92 / $9.93 / $13.40	Facility	26	$9.92	$9.93	$13.40
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.39 / $17.98 / $195.67	Facility	TC	$14.39	$17.98	$195.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $21.21 / $28.73	Professional		$16.51	$21.21	$28.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.04 / $7.31 / $10.42	Professional	26	$6.04	$7.31	$10.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.48 / $14.78 / $18.30	Professional	TC	$10.48	$14.78	$18.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $21.53 / $39.10	Professional		$15.43	$21.53	$39.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.38 / $7.44 / $8.90	Professional	26	$5.38	$7.44	$8.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $9.59 / $9.59 / $9.59	Professional	TC	$9.59	$9.59	$9.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $33.50 / $39.53	Professional		$24.46	$33.50	$39.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.72 / $11.95 / $14.10	Professional	26	$8.72	$11.95	$14.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.73 / $21.55 / $25.43	Professional	TC	$15.73	$21.55	$25.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.19 / $8.19 / $8.27	Facility	26	$8.19	$8.19	$8.27
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $14.92 / $14.92 / $15.05	Facility	TC	$14.92	$14.92	$15.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $25.12 / $50.37	Professional		$16.72	$25.12	$50.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $9.66 / $20.00	Professional	26	$5.92	$9.66	$20.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.80 / $18.68 / $33.90	Professional	TC	$10.80	$18.68	$33.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $20.57 / $30.73	Professional		$16.23	$20.57	$30.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.96 / $7.59 / $10.15	Professional	26	$5.96	$7.59	$10.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.56 / $13.02 / $21.15	Professional	TC	$10.56	$13.02	$21.15