Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $12.59 / $12.59	Facility	26	$8.91	$12.59	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $173.78	Professional		$30.20	$56.23	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.22 / $28.84	Professional	26	$7.94	$11.22	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $151.36	Professional	TC	$21.88	$33.11	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $44.67	Professional		$23.99	$29.51	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.22 / $13.49	Professional	26	$8.51	$11.22	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $35.48 / $43.65	Professional	TC	$20.89	$35.48	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $109.65	Professional		$58.88	$85.11	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.14 / $19.05	Professional	26	$10.47	$15.14	$19.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $69.18 / $89.13	Professional	TC	$48.98	$69.18	$89.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $10.96 / $10.96	Facility	26	$10.96	$10.96	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $128.82	Professional		$30.20	$54.95	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.88 / $25.70	Professional	26	$9.12	$12.88	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $51.29 / $123.03	Professional	TC	$26.92	$51.29	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $117.49	Professional		$30.20	$43.65	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.77 / $14.13	Professional	26	$6.92	$9.77	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.90 / $102.33	Professional	TC	$22.39	$30.90	$102.33