Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.91 / $14.91 / $20.12	Facility	26	$14.91	$14.91	$20.12
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.96 / $261.76 / $672.91	Facility	TC	$31.96	$261.76	$672.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $34.89 / $49.21	Professional		$28.39	$34.89	$49.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $11.22 / $15.65	Professional	26	$9.13	$11.22	$15.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.26 / $23.67 / $33.54	Professional	TC	$19.26	$23.67	$33.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $27.19 / $42.54	Professional		$24.18	$27.19	$42.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $10.17 / $12.20	Professional	26	$8.11	$10.17	$12.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.84 / $14.84 / $29.47	Professional	TC	$14.84	$14.84	$29.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $69.00 / $81.42	Professional		$49.64	$69.00	$81.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.54 / $25.40 / $29.97	Professional	26	$18.54	$25.40	$29.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.10 / $42.60 / $50.27	Professional	TC	$31.10	$42.60	$50.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $39.28 / $67.25	Professional		$28.36	$39.28	$67.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $14.25 / $22.64	Professional	26	$8.69	$14.25	$22.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.79 / $24.90 / $41.43	Professional	TC	$18.79	$24.90	$41.43
United Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $33.19 / $45.43	Professional		$25.89	$33.19	$45.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $11.44 / $16.02	Professional	26	$8.93	$11.44	$16.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.59 / $22.01 / $29.45	Professional	TC	$16.59	$22.01	$29.45