Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.75 / $6.75 / $36.72	Facility	26	$6.75	$6.75	$36.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.20 / $6.75 / $26.13	Professional	26	$5.20	$6.75	$26.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.27 / $20.12 / $56.91	Professional	TC	$16.27	$20.12	$56.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.68 / $24.68 / $39.03	Professional	26	$24.68	$24.68	$39.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.00 / $11.49 / $27.63	Professional	26	$9.00	$11.49	$27.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $31.45 / $81.31	Professional	TC	$26.00	$31.45	$81.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.97 / $33.29 / $59.07	Professional	26	$26.97	$33.29	$59.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.63 / $98.84 / $176.11	Professional	TC	$81.63	$98.84	$176.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.08 / $27.17 / $33.29	Facility	26	$23.08	$27.17	$33.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $31.83 / $47.26	Professional	26	$23.61	$31.83	$47.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.34 / $101.17 / $140.88	Professional	TC	$71.34	$101.17	$140.88