Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $17.38 / $17.38	Facility	26	$17.38	$17.38	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $109.65	Professional		$29.51	$47.86	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $20.42 / $41.69	Professional	26	$10.96	$20.42	$41.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $61.66	Professional	TC	$19.05	$30.20	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $56.23	Professional		$32.36	$40.74	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $18.20 / $18.62	Professional	26	$18.20	$18.20	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	TC	$45.71	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $69.18	Professional		$38.02	$54.95	$69.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.39 / $28.84	Professional	26	$15.85	$22.39	$28.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $32.36 / $40.74	Professional	TC	$22.39	$32.36	$40.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $14.79 / $15.14	Facility	26	$14.79	$14.79	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $95.50	Professional		$28.84	$44.67	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $17.78 / $36.31	Professional	26	$12.30	$17.78	$36.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.90 / $66.07	Professional	TC	$20.89	$30.90	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $57.54	Professional		$29.51	$41.69	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.49 / $20.89	Professional	26	$10.23	$13.49	$20.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $27.54 / $37.15	Professional	TC	$19.50	$27.54	$37.15