Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.10 / $32.10 / $32.10	Facility	26	$32.10	$32.10	$32.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $42.71 / $61.60	Professional		$33.74	$42.71	$61.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.50 / $22.69 / $33.70	Professional	26	$18.50	$22.69	$33.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $20.39 / $27.89	Professional	TC	$13.99	$20.39	$27.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $46.46 / $58.55	Professional		$28.20	$46.46	$58.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.66 / $25.99 / $33.40	Professional	26	$21.66	$25.99	$33.40
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $28.57 / $28.57	Professional	TC	$28.57	$28.57	$28.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $77.00 / $90.86	Professional		$53.90	$77.00	$90.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.12 / $24.82 / $29.29	Professional	26	$18.12	$24.82	$29.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.53 / $52.18 / $61.57	Professional	TC	$36.53	$52.18	$61.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.02 / $27.02 / $27.02	Facility	26	$27.02	$27.02	$27.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $54.33 / $130.52	Professional		$35.24	$54.33	$130.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.12 / $30.65 / $75.69	Professional	26	$19.12	$30.65	$75.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $27.36 / $65.70	Professional	TC	$17.07	$27.36	$65.70
United Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $44.16 / $81.42	Professional		$34.15	$44.16	$81.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.22 / $24.61 / $32.61	Professional	26	$19.22	$24.61	$32.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.41 / $19.82 / $52.27	Professional	TC	$15.41	$19.82	$52.27