Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $14.72 / $19.87	Facility	26	$14.72	$14.72	$19.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $45.00 / $68.63	Professional		$38.85	$45.00	$68.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $12.79 / $19.87	Professional	26	$10.83	$12.79	$19.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.71 / $32.79 / $48.76	Professional	TC	$27.71	$32.79	$48.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $44.20 / $51.49	Professional		$37.57	$44.20	$51.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $14.09 / $16.26	Professional	26	$10.84	$14.09	$16.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $37.81 / $37.81 / $37.81	Professional	TC	$37.81	$37.81	$37.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $56.37 / $66.52	Professional		$41.15	$56.37	$66.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.21 / $16.72 / $19.73	Professional	26	$12.21	$16.72	$19.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $39.65 / $46.79	Professional	TC	$28.94	$39.65	$46.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $56.79 / $118.15	Professional		$40.63	$56.79	$118.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $17.22 / $34.22	Professional	26	$12.29	$17.22	$34.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.87 / $39.15 / $87.18	Professional	TC	$28.87	$39.15	$87.18
United Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $41.28 / $58.28	Professional		$31.07	$41.28	$58.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $12.21 / $16.92	Professional	26	$9.16	$12.21	$16.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.23 / $28.91 / $41.36	Professional	TC	$22.23	$28.91	$41.36