Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.58 / $8.58 / $11.58	Facility	26	$8.58	$8.58	$11.58
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.73 / $28.23 / $195.67	Facility	TC	$24.73	$28.23	$195.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $27.20 / $38.64	Professional		$22.13	$27.20	$38.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.20 / $6.39 / $9.00	Professional	26	$5.20	$6.39	$9.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.93 / $21.01 / $29.64	Professional	TC	$16.93	$21.01	$29.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $21.09 / $21.09	Professional		$18.94	$21.09	$21.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.63 / $6.42 / $7.69	Professional	26	$4.63	$6.42	$7.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.93 / $12.93 / $12.93	Professional	TC	$12.93	$12.93	$12.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $40.00 / $47.20	Professional		$29.20	$40.00	$47.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.47 / $10.23 / $12.07	Professional	26	$7.47	$10.23	$12.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $29.77 / $35.13	Professional	TC	$21.73	$29.77	$35.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.01 / $7.01 / $7.07	Facility	26	$7.01	$7.01	$7.07
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.52 / $19.52 / $19.69	Facility	TC	$19.52	$19.52	$19.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $29.86 / $61.05	Professional		$20.59	$29.86	$61.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $8.36 / $18.00	Professional	26	$5.09	$8.36	$18.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $24.49 / $54.03	Professional	TC	$17.39	$24.49	$54.03
United Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $26.25 / $36.58	Professional		$19.96	$26.25	$36.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.15 / $6.52 / $8.69	Professional	26	$5.15	$6.52	$8.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.27 / $19.41 / $27.04	Professional	TC	$15.27	$19.41	$27.04