Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.05 / $28.05 / $28.05	Facility	26	$28.05	$28.05	$28.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $63.02 / $83.25	Professional		$47.78	$63.02	$83.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.20 / $19.73 / $28.05	Professional	26	$16.20	$19.73	$28.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.58 / $43.42 / $55.19	Professional	TC	$31.58	$43.42	$55.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.97 / $22.97 / $22.97	Professional	26	$22.97	$22.97	$22.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $62.45 / $73.69	Professional		$45.59	$62.45	$73.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.19 / $22.18 / $26.17	Professional	26	$16.19	$22.18	$26.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.40 / $40.27 / $47.52	Professional	TC	$29.40	$40.27	$47.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.09 / $25.09 / $25.31	Facility	26	$25.09	$25.09	$25.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $73.78 / $155.38	Professional		$49.33	$73.78	$155.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $27.98 / $51.10	Professional	26	$16.80	$27.98	$51.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.86 / $50.20 / $104.29	Professional	TC	$33.86	$50.20	$104.29
United Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $58.67 / $85.84	Professional		$47.68	$58.67	$85.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $21.60 / $30.58	Professional	26	$17.05	$21.60	$30.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.30 / $38.56 / $57.78	Professional	TC	$30.30	$38.56	$57.78