Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.62 / $14.43 / $19.48	Facility	26	$11.62	$14.43	$19.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $43.99 / $268.64 / $933.58	Facility	TC	$43.99	$268.64	$933.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $41.59 / $61.35	Professional		$34.56	$41.59	$61.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $11.50 / $15.16	Professional	26	$9.25	$11.50	$15.16
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.77 / $21.55 / $29.22	Professional	52	$16.77	$21.55	$29.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.23 / $30.95 / $46.18	Professional	TC	$26.23	$30.95	$46.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $48.16 / $53.87	Professional		$32.11	$48.16	$53.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.09 / $10.11 / $18.22	Professional	26	$8.09	$10.11	$18.22
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $51.84 / $72.23 / $76.72	Professional	50	$51.84	$72.23	$76.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $57.50 / $67.84	Professional		$41.98	$57.50	$67.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.05 / $21.30	Professional	26	$13.18	$18.05	$21.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.80 / $39.45 / $46.55	Professional	TC	$28.80	$39.45	$46.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.16 / $12.16 / $12.27	Facility	26	$12.16	$12.16	$12.27
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.65 / $26.65 / $26.88	Facility	TC	$26.65	$26.65	$26.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $46.02 / $109.15	Professional		$32.31	$46.02	$109.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.66 / $29.00	Professional	26	$8.91	$14.66	$29.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.33 / $34.81 / $83.87	Professional	TC	$24.33	$34.81	$83.87
United Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $40.21 / $53.27	Professional		$31.07	$40.21	$53.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $11.08 / $15.38	Professional	26	$8.66	$11.08	$15.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.18 / $29.71 / $38.47	Professional	TC	$22.18	$29.71	$38.47