Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.81 / $19.94 / $19.94	Facility	26	$13.81	$19.94	$19.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $51.90 / $61.38	Professional		$30.01	$51.90	$61.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.45 / $14.08 / $20.93	Professional	26	$11.45	$14.08	$20.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $31.96 / $41.56	Professional	TC	$18.55	$31.96	$41.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $47.61 / $47.61	Professional		$47.61	$47.61	$47.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $13.88 / $18.30	Professional	26	$11.05	$13.88	$18.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $89.83 / $106.00	Professional		$65.58	$89.83	$106.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.21 / $34.53 / $40.75	Professional	26	$25.21	$34.53	$40.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.36 / $55.30 / $65.25	Professional	TC	$40.36	$55.30	$65.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.93 / $17.93 / $18.09	Facility	26	$17.93	$17.93	$18.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.17 / $115.25	Professional		$30.00	$48.17	$115.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.15 / $19.67 / $44.83	Professional	26	$12.15	$19.67	$44.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $30.45 / $75.95	Professional	TC	$18.64	$30.45	$75.95
United Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $40.78 / $90.24	Professional		$31.18	$40.78	$90.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $15.43 / $22.23	Professional	26	$12.18	$15.43	$22.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $23.93 / $68.11	Professional	TC	$17.91	$23.93	$68.11