Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $104.71	Professional		$28.84	$51.29	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.05 / $38.90	Professional	26	$12.02	$19.05	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $28.18 / $53.70	Professional	TC	$16.98	$28.18	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.47 / $12.30 / $19.50	Professional	26	$4.47	$12.30	$19.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $114.82	Professional		$63.10	$89.13	$114.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $34.67 / $44.67	Professional	26	$23.99	$34.67	$44.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $54.95 / $70.79	Professional	TC	$38.90	$54.95	$70.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $17.78 / $18.20	Facility	26	$17.78	$17.78	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $102.33	Professional		$30.20	$48.98	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.50 / $40.74	Professional	26	$14.45	$19.50	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $35.48 / $72.44	Professional	TC	$20.89	$35.48	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $85.11	Professional		$30.90	$41.69	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.49 / $23.44	Professional	26	$11.75	$15.49	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $25.12 / $60.26	Professional	TC	$17.78	$25.12	$60.26