Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $12.02 / $12.02	Facility	26	$8.91	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $77.62	Professional		$20.89	$34.67	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $26.92	Professional	26	$7.08	$10.00	$26.92
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	52	$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $20.89 / $47.86	Professional	TC	$14.13	$20.89	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $7.94 / $10.47	Professional	26	$7.24	$7.94	$10.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $43.65	Professional		$23.99	$33.88	$43.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.23 / $13.18	Professional	26	$7.24	$10.23	$13.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.99 / $30.90	Professional	TC	$16.60	$23.99	$30.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $11.22 / $11.48	Facility	26	$11.22	$11.22	$11.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $77.62	Professional		$22.91	$38.90	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.18 / $26.92	Professional	26	$9.12	$13.18	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $29.51 / $60.26	Professional	TC	$18.62	$29.51	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $50.12	Professional		$23.99	$30.20	$50.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.33 / $15.49	Professional	26	$7.24	$9.33	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.89 / $35.48	Professional	TC	$16.60	$20.89	$35.48