Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $38.90 / $38.90	Facility	26	$26.30	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $144.54	Professional		$42.66	$64.57	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $53.70 / $89.13	Professional	26	$25.12	$53.70	$89.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.13 / $36.31 / $107.15	Professional	52	$14.13	$36.31	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $72.44	Professional	TC	$19.05	$28.18	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $51.29	Professional		$37.15	$41.69	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.11 / $40.74	Professional	26	$20.89	$33.11	$40.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $23.44 / $32.36	Professional	TC	$23.44	$23.44	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $70.79	Professional		$38.02	$54.95	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $30.90 / $39.81	Professional	26	$21.38	$30.90	$39.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $30.90	Professional	TC	$16.98	$23.99	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $123.03	Professional		$39.81	$63.10	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $38.02 / $75.86	Professional	26	$26.92	$38.02	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $29.51 / $61.66	Professional	TC	$22.39	$29.51	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $85.11	Professional		$41.69	$56.23	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $45.71	Professional	26	$22.91	$30.90	$45.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $24.55 / $34.67	Professional	TC	$19.05	$24.55	$34.67