Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.55 / $5.56 / $7.50	Facility	26	$5.55	$5.56	$7.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $39.09 / $42.44	Professional		$19.41	$39.09	$42.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.83 / $3.81 / $5.83	Professional	26	$2.83	$3.81	$5.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.68 / $14.07 / $20.21	Professional	52	$9.68	$14.07	$20.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.57 / $34.86 / $36.61	Professional	TC	$16.57	$34.86	$36.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $25.72 / $25.72	Professional		$16.50	$25.72	$25.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.40 / $3.75 / $3.82	Professional	26	$2.40	$3.75	$3.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $48.53 / $57.27	Professional		$33.97	$48.53	$57.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.52 / $3.46 / $4.08	Professional	26	$2.52	$3.46	$4.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.55 / $45.07 / $53.18	Professional	TC	$31.55	$45.07	$53.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $35.29 / $109.46	Professional		$18.50	$35.29	$109.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.03 / $4.79 / $9.81	Professional	26	$3.03	$4.79	$9.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.03 / $36.58 / $104.88	Professional	TC	$19.03	$36.58	$104.88
United Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $24.50 / $102.51	Professional		$18.95	$24.50	$102.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.44 / $3.17 / $4.88	Professional	26	$2.44	$3.17	$4.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $19.80 / $93.79	Professional	TC	$16.51	$19.80	$93.79