Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.32 / $27.32 / $36.88	Facility	26	$27.32	$27.32	$36.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $34.89 / $54.01	Professional		$30.29	$34.89	$54.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.10 / $23.73 / $30.13	Professional	26	$20.10	$23.73	$30.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.00 / $17.42 / $21.14	Professional	52	$15.00	$17.42	$21.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $12.00 / $16.98	Professional	TC	$10.11	$12.00	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $34.92 / $46.05	Professional		$27.94	$34.92	$46.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.12 / $24.19 / $30.17	Professional	26	$21.12	$24.19	$30.17
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $8.08 / $8.08 / $8.08	Professional	52	$8.08	$8.08	$8.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $32.56 / $38.42	Professional		$23.77	$32.56	$38.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.97 / $21.88 / $25.82	Professional	26	$15.97	$21.88	$25.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.80 / $10.68 / $13.24	Professional	TC	$7.80	$10.68	$13.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $44.51 / $67.78	Professional		$33.04	$44.51	$67.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.80 / $30.64 / $45.00	Professional	26	$22.80	$30.64	$45.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.61 / $14.19 / $21.95	Professional	TC	$10.61	$14.19	$21.95
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $32.58 / $45.58	Professional		$24.00	$32.58	$45.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.42 / $22.65 / $31.26	Professional	26	$16.42	$22.65	$31.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.58 / $10.07 / $15.03	Professional	TC	$7.58	$10.07	$15.03