Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $42.66 / $117.49	Facility		$4.57	$42.66	$117.49
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $10.23	Facility	26	$10.23	$10.23	$10.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.60 / $36.31	Professional		$9.12	$16.60	$36.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $26.30	Professional	26	$6.03	$8.91	$26.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	50	$29.51	$29.51	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.02 / $6.76	Professional	TC	$2.00	$3.02	$6.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $16.22	Professional		$9.55	$9.55	$16.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $10.96 / $10.96	Professional	26	$10.96	$10.96	$10.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $93.33 / $125.89	Facility		$79.43	$93.33	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.45 / $15.85	Professional		$9.33	$14.45	$15.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.55 / $10.47	Professional	26	$6.46	$9.55	$10.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.75 / $5.01 / $5.50	Professional	TC	$2.75	$5.01	$5.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $30.90 / $61.66	Facility		$8.51	$30.90	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $9.77 / $9.77	Facility	26	$9.77	$9.77	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.85 / $30.90	Professional		$10.47	$15.85	$30.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $22.91	Professional	26	$7.41	$11.75	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $5.37 / $10.72	Professional	TC	$2.82	$5.37	$10.72
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $38.90 / $45.71	Facility		$8.71	$38.90	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.75 / $18.20	Professional		$9.12	$11.75	$18.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $8.13 / $12.30	Professional	26	$6.17	$8.13	$12.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.45 / $3.55 / $4.79	Professional	TC	$2.45	$3.55	$4.79