Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $8.51 / $8.51	Facility	26	$6.03	$8.51	$8.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.50 / $28.18 / $31.62	Facility	TC	$19.50	$28.18	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $30.90 / $93.33	Professional		$13.80	$30.90	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $10.47 / $22.39	Professional	26	$5.01	$10.47	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $28.18 / $52.48	Professional	TC	$15.85	$28.18	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $28.18	Professional		$16.98	$20.42	$28.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $6.46 / $8.71	Professional	26	$4.68	$6.46	$8.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.38 / $30.90	Professional	TC	$15.14	$21.38	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $51.29	Professional		$28.18	$39.81	$51.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.23 / $13.18	Professional	26	$7.08	$10.23	$13.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $38.02	Professional	TC	$20.89	$29.51	$38.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $7.08	Facility	26	$7.08	$7.08	$7.08
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.50 / $19.50 / $19.50	Facility	TC	$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $63.10	Professional		$20.42	$31.62	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $8.32 / $16.98	Professional	26	$5.75	$8.32	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.92 / $58.88	Professional	TC	$17.38	$26.92	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $38.02	Professional		$19.50	$26.30	$38.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $6.46 / $9.77	Professional	26	$5.01	$6.46	$9.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $19.50 / $27.54	Professional	TC	$15.14	$19.50	$27.54