Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $602.56	Facility		$43.65	$54.95	$602.56
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $12.59	Facility	26	$12.59	$12.59	$12.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.92 / $31.62 / $31.62	Facility	TC	$26.92	$31.62	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $117.49	Professional		$25.12	$43.65	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $19.05 / $70.79	Professional	26	$7.08	$19.05	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $223.87	Professional	TC	$18.20	$28.84	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $37.15 / $37.15	Professional		$18.20	$37.15	$37.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $12.02 / $13.49	Professional	26	$5.01	$12.02	$13.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $79.43	Professional		$67.61	$67.61	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $21.38 / $25.12	Professional	26	$20.42	$21.38	$25.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $54.95	Professional	TC	$46.77	$46.77	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $100.00	Professional		$18.62	$25.70	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.13 / $5.75 / $29.51	Professional	26	$5.13	$5.75	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $15.49 / $79.43	Professional	TC	$13.49	$15.49	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $63.10	Professional		$22.91	$40.74	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $9.55 / $12.02	Professional	26	$6.92	$9.55	$12.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $30.20 / $44.67	Professional	TC	$15.85	$30.20	$44.67