Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $40.74 / $40.74	Facility	26	$22.39	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $107.15	Professional		$30.20	$43.65	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $36.31 / $95.50	Professional	26	$19.05	$36.31	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $19.05 / $70.79	Professional	TC	$10.96	$19.05	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $23.44 / $34.67	Professional	26	$17.38	$23.44	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $100.00	Professional		$58.88	$83.18	$100.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $54.95 / $64.57	Professional	26	$28.18	$54.95	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.84 / $34.67	Professional	TC	$20.42	$28.84	$34.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	26	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $89.13 / $165.96	Professional		$38.90	$89.13	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $33.88 / $61.66	Professional	26	$24.55	$33.88	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $56.23 / $104.71	Professional	TC	$14.79	$56.23	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $100.00	Professional		$36.31	$53.70	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $24.55 / $35.48	Professional	26	$18.62	$24.55	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $26.30 / $63.10	Professional	TC	$17.78	$26.30	$63.10