Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.90 / $30.90	Facility	26	$30.20	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $151.36	Professional		$34.67	$70.79	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $48.98 / $97.72	Professional	26	$18.20	$48.98	$97.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $70.79 / $234.42	Professional	50	$69.18	$70.79	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $26.92 / $61.66	Professional	TC	$8.91	$26.92	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $75.86	Professional		$41.69	$50.12	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $33.88 / $45.71	Professional	26	$24.55	$33.88	$45.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $21.88 / $38.02	Professional	TC	$14.45	$21.88	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $67.61	Professional		$39.81	$56.23	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.20 / $35.48	Professional	26	$20.89	$30.20	$35.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.92 / $31.62	Professional	TC	$18.62	$26.92	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $125.89	Professional		$28.18	$47.86	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $31.62 / $72.44	Professional	26	$22.39	$31.62	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $16.60 / $61.66	Professional	TC	$9.77	$16.60	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $64.57	Professional		$28.84	$47.86	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.44 / $33.88	Professional	26	$18.20	$23.44	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $25.70 / $36.31	Professional	TC	$9.12	$25.70	$36.31