Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $93.33	Professional		$30.20	$39.81	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.70 / $56.23	Professional	26	$19.95	$25.70	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $12.02 / $22.39	Professional	TC	$8.91	$12.02	$22.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $46.77	Professional		$25.12	$32.36	$46.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $23.44 / $33.11	Professional	26	$22.39	$23.44	$33.11
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $10.72 / $10.72 / $10.72	Professional	52	$10.72	$10.72	$10.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $38.02	Professional		$23.99	$32.36	$38.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $21.88 / $25.70	Professional	26	$15.85	$21.88	$25.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.76 / $10.72 / $13.18	Professional	TC	$7.76	$10.72	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $69.18	Professional		$33.11	$43.65	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $30.20 / $46.77	Professional	26	$22.39	$30.20	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $14.13 / $22.91	Professional	TC	$10.72	$14.13	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $51.29	Professional		$23.99	$34.67	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.44 / $35.48	Professional	26	$16.60	$23.44	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.59 / $10.72 / $16.22	Professional	TC	$7.59	$10.72	$16.22