Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.05 / $8.99 / $12.13	Facility	26	$7.05	$8.99	$12.13
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $38.17 / $51.54 / $327.39	Facility	TC	$38.17	$51.54	$327.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $33.63 / $49.53	Professional		$27.25	$33.63	$49.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.46 / $6.71 / $9.43	Professional	26	$5.46	$6.71	$9.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.63 / $17.41 / $23.59	Professional	52	$13.63	$17.41	$23.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.00 / $27.00 / $40.08	Professional	TC	$22.00	$27.00	$40.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $27.78 / $38.71	Professional		$24.89	$27.78	$38.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.86 / $6.08 / $8.06	Professional	26	$4.86	$6.08	$8.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $41.00 / $48.38	Professional		$29.93	$41.00	$48.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.91 / $9.46 / $11.16	Professional	26	$6.91	$9.46	$11.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.02 / $31.54 / $37.22	Professional	TC	$23.02	$31.54	$37.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.37 / $7.37 / $7.43	Facility	26	$7.37	$7.37	$7.43
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $20.58 / $20.58 / $20.76	Facility	TC	$20.58	$20.58	$20.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $37.57 / $90.02	Professional		$26.84	$37.57	$90.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.35 / $8.77 / $18.00	Professional	26	$5.35	$8.77	$18.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.51 / $29.88 / $73.29	Professional	TC	$20.51	$29.88	$73.29
United Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $32.47 / $40.96	Professional		$23.46	$32.47	$40.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.42 / $6.87 / $9.10	Professional	26	$5.42	$6.87	$9.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.50 / $25.60 / $31.76	Professional	TC	$18.50	$25.60	$31.76