Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.10 / $15.10 / $15.10	Facility	26	$15.10	$15.10	$15.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $41.15 / $53.16	Professional		$35.74	$41.15	$53.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $12.67 / $16.20	Professional	26	$10.78	$12.67	$16.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.95 / $28.43 / $39.47	Professional	TC	$24.95	$28.43	$39.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
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 $13.37 / $18.30 / $21.61	Professional	26	$13.37	$18.30	$21.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.78 / $38.06 / $44.91	Professional	TC	$27.78	$38.06	$44.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $54.22 / $117.27	Professional		$40.28	$54.22	$117.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $17.30 / $34.22	Professional	26	$12.29	$17.30	$34.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $36.53 / $85.02	Professional	TC	$28.00	$36.53	$85.02
United Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $39.43 / $58.28	Professional		$29.05	$39.43	$58.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $12.53 / $17.28	Professional	26	$9.09	$12.53	$17.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.96 / $27.08 / $39.94	Professional	TC	$19.96	$27.08	$39.94