Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.96 / $18.96 / $25.59	Facility	26	$18.96	$18.96	$25.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $48.96 / $66.09 / $455.99	Facility	TC	$48.96	$66.09	$455.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $48.55 / $71.31	Professional		$40.98	$48.55	$71.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $13.97 / $19.89	Professional	26	$11.64	$13.97	$19.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.33 / $34.58 / $51.41	Professional	TC	$29.33	$34.58	$51.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $55.18 / $61.72	Professional		$39.59	$55.18	$61.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $15.53 / $17.14	Professional	26	$10.35	$15.53	$17.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $49.97 / $58.96	Professional		$36.47	$49.97	$58.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $14.64 / $17.28	Professional	26	$10.69	$14.64	$17.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.79 / $35.33 / $41.69	Professional	TC	$25.79	$35.33	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $55.90 / $120.21	Professional		$37.26	$55.90	$120.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $18.94 / $34.61	Professional	26	$11.40	$18.94	$34.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.01 / $38.45 / $93.30	Professional	TC	$29.01	$38.45	$93.30
United Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $47.87 / $64.90	Professional		$37.56	$47.87	$64.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $14.57 / $21.22	Professional	26	$11.37	$14.57	$21.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.16 / $33.97 / $45.04	Professional	TC	$25.16	$33.97	$45.04