Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.33 / $13.34 / $18.00	Facility	26	$13.33	$13.34	$18.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $48.02 / $275.00	Professional		$30.80	$48.02	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $13.34 / $55.00	Professional	26	$8.83	$13.34	$55.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.46 / $26.79 / $220.00	Professional	TC	$17.46	$26.79	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $30.11	Professional		$17.84	$17.84	$30.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $7.98 / $11.42	Professional	26	$6.90	$7.98	$11.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $53.38 / $62.99	Professional		$38.97	$53.38	$62.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $11.00 / $12.98	Professional	26	$8.02	$11.00	$12.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.94 / $42.38 / $50.01	Professional	TC	$30.94	$42.38	$50.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.54 / $11.54 / $11.54	Facility	26	$11.54	$11.54	$11.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $33.95 / $118.54	Professional		$17.35	$33.95	$118.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.44 / $23.07	Professional	26	$7.59	$12.44	$23.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.23 / $19.57 / $99.81	Professional	TC	$11.23	$19.57	$99.81
United Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $24.16 / $128.31	Professional		$17.84	$24.16	$128.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.72 / $14.17	Professional	26	$7.59	$9.72	$14.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.28 / $14.05 / $115.61	Professional	TC	$10.28	$14.05	$115.61