Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $23.95 / $49.50	Professional		$21.86	$23.95	$49.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.10 / $19.44 / $107.10	Professional	26	$16.10	$19.44	$107.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.40 / $5.76 / $16.38	Professional	TC	$5.40	$5.76	$16.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $21.24 / $22.72	Professional	26	$9.88	$21.24	$22.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $31.00 / $32.54	Professional		$27.43	$31.00	$32.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.76 / $24.00 / $25.20	Professional	26	$19.76	$24.00	$25.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.00 / $7.14 / $7.72	Professional	TC	$7.00	$7.14	$7.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $14.66 / $40.71	Professional		$13.94	$14.66	$40.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $11.50 / $31.97	Professional	26	$10.71	$11.50	$31.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.12 / $3.36 / $8.98	Professional	TC	$3.12	$3.36	$8.98
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.71 / $21.02 / $41.20	Facility	26	$14.71	$21.02	$41.20
United Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $20.17 / $60.64	Professional		$16.73	$20.17	$60.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.58 / $16.17 / $54.63	Professional	26	$12.58	$16.17	$54.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.62 / $4.99 / $14.44	Professional	TC	$3.62	$4.99	$14.44