Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $14.79 / $14.79	Facility	26	$11.48	$14.79	$14.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $138.04	Professional		$48.98	$63.10	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $33.11	Professional	26	$10.96	$17.78	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $45.71 / $81.28	Professional	TC	$36.31	$45.71	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $67.61	Professional		$48.98	$54.95	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $12.88 / $16.98	Professional	26	$10.72	$12.88	$16.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $85.11	Professional		$50.12	$70.79	$85.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $19.95	Professional	26	$12.02	$16.98	$19.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $54.95 / $64.57	Professional	TC	$38.02	$54.95	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $141.25	Professional		$50.12	$67.61	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $29.51	Professional	26	$12.02	$16.98	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $52.48 / $112.20	Professional	TC	$38.90	$52.48	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $81.28	Professional		$38.02	$53.70	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.59 / $19.05	Professional	26	$8.91	$12.59	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $40.74 / $63.10	Professional	TC	$29.51	$40.74	$63.10