Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $14.45 / $14.45	Facility	26	$10.47	$14.45	$14.45
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.88 / $43.65 / $912.01	Facility	TC	$33.88	$43.65	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $50.12 / $158.49	Professional		$21.38	$50.12	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $22.91 / $54.95	Professional	26	$8.91	$22.91	$54.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $95.50 / $223.87	Professional	50	$36.31	$95.50	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $42.66 / $79.43	Professional	TC	$25.12	$42.66	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $58.88	Professional		$30.90	$38.90	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $13.49 / $18.20	Professional	26	$8.13	$13.49	$18.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $57.54 / $81.28	Professional	50	$47.86	$57.54	$81.28
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $53.70	Professional	TC	$22.91	$33.11	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $74.13	Professional		$39.81	$57.54	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.20 / $21.38	Professional	26	$12.59	$18.20	$21.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $39.81 / $50.12	Professional	TC	$27.54	$39.81	$50.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.30	Facility	26	$12.02	$12.02	$12.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	TC	$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $100.00	Professional		$31.62	$46.77	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.79 / $28.84	Professional	26	$10.00	$14.79	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $37.15 / $83.18	Professional	TC	$24.55	$37.15	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $54.95	Professional		$29.51	$40.74	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.96 / $16.60	Professional	26	$8.51	$10.96	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $40.74	Professional	TC	$20.89	$29.51	$40.74