Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $151.36	Professional		$43.65	$70.79	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $43.65 / $75.86	Professional	26	$22.91	$43.65	$75.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $34.67 / $87.10	Professional	TC	$21.88	$34.67	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $47.86 / $89.13	Professional		$24.55	$47.86	$89.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.30 / $38.90	Professional	26	$19.95	$26.30	$38.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	TC	$229.09	$229.09	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $109.65 / $120.23	Professional		$48.98	$109.65	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $57.54 / $63.10	Professional	26	$23.44	$57.54	$63.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $51.29 / $56.23	Professional	TC	$25.70	$51.29	$56.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $85.11 / $177.83	Professional		$44.67	$85.11	$177.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.88 / $72.44	Professional	26	$22.39	$33.88	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $47.86 / $109.65	Professional	TC	$22.91	$47.86	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $123.03	Professional		$44.67	$60.26	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $28.18 / $40.74	Professional	26	$22.39	$28.18	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $89.13	Professional	TC	$22.91	$30.20	$89.13