Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $20.42 / $20.42	Facility	26	$8.91	$20.42	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $95.50	Professional		$30.90	$47.86	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $15.85 / $34.67	Professional	26	$7.94	$15.85	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.90 / $83.18	Professional	TC	$19.95	$30.90	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.38 / $20.42	Professional	26	$11.48	$17.38	$20.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $69.18	Professional		$38.02	$53.70	$69.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.14 / $19.50	Professional	26	$10.72	$15.14	$19.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $38.90 / $50.12	Professional	TC	$26.92	$38.90	$50.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $9.55	Facility	26	$9.33	$9.33	$9.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $120.23	Professional		$33.11	$57.54	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.49 / $36.31	Professional	26	$8.51	$13.49	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $52.48 / $107.15	Professional	TC	$26.92	$52.48	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $97.72	Professional		$33.11	$44.67	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $13.18 / $18.20	Professional	26	$7.24	$13.18	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.18 / $85.11	Professional	TC	$20.42	$28.18	$85.11