Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.42 / $34.42 / $34.43	Facility	26	$34.42	$34.42	$34.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $63.17 / $74.00	Professional		$55.97	$63.17	$74.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.38 / $29.82 / $36.85	Professional	26	$25.38	$29.82	$36.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $34.52 / $40.57	Professional	TC	$29.51	$34.52	$40.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $59.13 / $59.13	Professional		$59.13	$59.13	$59.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $26.38 / $28.12	Professional	26	$25.12	$26.38	$28.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $113.00 / $133.34	Professional		$69.45	$113.00	$133.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.40 / $52.98 / $62.52	Professional	26	$31.40	$52.98	$62.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.06 / $60.02 / $70.81	Professional	TC	$38.06	$60.02	$70.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $77.48 / $166.84	Professional		$57.63	$77.48	$166.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.45 / $39.74 / $75.00	Professional	26	$28.45	$39.74	$75.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.36 / $39.43 / $94.87	Professional	TC	$28.36	$39.43	$94.87
United Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $56.72 / $78.73	Professional		$42.19	$56.72	$78.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.46 / $27.90 / $38.03	Professional	26	$20.46	$27.90	$38.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $28.48 / $40.35	Professional	TC	$21.73	$28.48	$40.35