Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $45.71 / $302.00	Professional		$22.91	$45.71	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $54.95	Professional	26	$8.91	$12.02	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $25.12 / $218.78	Professional	TC	$12.88	$25.12	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $35.48	Professional		$19.50	$29.51	$35.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $10.96 / $13.49	Professional	26	$5.25	$10.96	$13.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $63.10	Professional		$37.15	$53.70	$63.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $14.13	Professional	26	$7.76	$10.96	$14.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $42.66 / $54.95	Professional	TC	$29.51	$42.66	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $11.48 / $11.48	Facility	26	$11.48	$11.48	$11.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $38.90 / $131.83	Professional		$17.38	$38.90	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.30 / $24.55	Professional	26	$9.12	$12.30	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $25.12 / $117.49	Professional	TC	$12.59	$25.12	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $128.82	Professional		$17.78	$25.70	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.77 / $14.45	Professional	26	$7.41	$9.77	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $14.45 / $114.82	Professional	TC	$10.00	$14.45	$114.82