Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.61 / $23.77 / $23.77	Facility	26	$17.61	$23.77	$23.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $52.02 / $78.18	Professional		$42.71	$52.02	$78.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $12.78 / $18.48	Professional	26	$10.14	$12.78	$18.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.57 / $39.82 / $59.69	Professional	TC	$32.57	$39.82	$59.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $61.64 / $61.64	Professional		$52.02	$61.64	$61.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.76 / $16.17 / $16.17	Professional	26	$9.76	$16.17	$16.17
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $164.00 / $164.00 / $164.00	Professional	TC	$164.00	$164.00	$164.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $54.52 / $64.33	Professional		$39.79	$54.52	$64.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $13.61 / $16.05	Professional	26	$9.94	$13.61	$16.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.86 / $40.90 / $48.27	Professional	TC	$29.86	$40.90	$48.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.69 / $60.57 / $141.15	Professional		$45.69	$60.57	$141.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.58 / $18.01 / $32.14	Professional	26	$10.58	$18.01	$32.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.54 / $43.42 / $109.00	Professional	TC	$32.54	$43.42	$109.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $52.69 / $70.08	Professional		$39.65	$52.69	$70.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.53 / $20.17	Professional	26	$10.72	$13.53	$20.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.85 / $38.33 / $51.11	Professional	TC	$27.85	$38.33	$51.11