Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $10.72 / $10.72	Facility	26	$7.59	$10.72	$10.72
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $26.30 / $1,995.26	Facility	TC	$18.62	$26.30	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $72.44	Professional		$18.20	$28.84	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.96 / $34.67	Professional	26	$6.03	$10.96	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $38.90	Professional	TC	$15.14	$20.89	$38.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $8.91 / $11.48	Professional	26	$7.24	$8.91	$11.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $35.48	Professional		$19.05	$27.54	$35.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $8.32 / $10.72	Professional	26	$5.75	$8.32	$10.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $19.05 / $24.55	Professional	TC	$13.49	$19.05	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $63.10	Professional		$20.89	$32.36	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.47 / $20.89	Professional	26	$7.59	$10.47	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $52.48	Professional	TC	$16.98	$23.99	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $41.69	Professional		$21.38	$27.54	$41.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $8.32 / $12.59	Professional	26	$6.46	$8.32	$12.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $19.05 / $26.30	Professional	TC	$14.79	$19.05	$26.30