Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $17.01	Facility	26	$12.59	$12.59	$17.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $45.27 / $69.88	Professional		$36.01	$45.27	$69.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $12.59 / $16.67	Professional	26	$9.49	$12.59	$16.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.42 / $33.24 / $51.11	Professional	TC	$26.42	$33.24	$51.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $36.99 / $53.16	Professional		$30.60	$36.99	$53.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $11.15 / $13.94	Professional	26	$9.27	$11.15	$13.94
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.89 / $32.89 / $32.89	Professional	TC	$32.89	$32.89	$32.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $83.06 / $99.21	Professional		$58.14	$83.06	$99.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.59 / $22.90 / $27.02	Professional	26	$11.59	$22.90	$27.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.45 / $60.16 / $70.98	Professional	TC	$30.45	$60.16	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $70.98 / $120.36	Professional		$44.53	$70.98	$120.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.51 / $17.91 / $37.00	Professional	26	$11.51	$17.91	$37.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.58 / $53.42 / $93.72	Professional	TC	$33.58	$53.42	$93.72
United Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $55.22 / $75.34	Professional		$40.38	$55.22	$75.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $12.89 / $17.60	Professional	26	$9.35	$12.89	$17.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.50 / $42.06 / $59.59	Professional	TC	$30.50	$42.06	$59.59