Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $22.39 / $22.39	Facility	26	$17.38	$22.39	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $263.03	Professional		$51.29	$69.18	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $21.88 / $75.86	Professional	26	$15.85	$21.88	$75.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $229.09 / $245.47	Professional	50	$28.84	$229.09	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $44.67 / $70.79	Professional	TC	$36.31	$44.67	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $79.43	Professional		$51.29	$60.26	$79.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $30.20	Professional	26	$18.20	$21.88	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $72.44	Professional		$43.65	$61.66	$72.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.20 / $21.88	Professional	26	$12.88	$18.20	$21.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $43.65 / $51.29	Professional	TC	$30.90	$43.65	$51.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.37 / $20.42 / $29.51	Facility	26	$4.37	$20.42	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $117.49	Professional		$48.98	$63.10	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $21.38 / $38.90	Professional	26	$15.85	$21.38	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $41.69 / $77.62	Professional	TC	$33.88	$41.69	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $91.20	Professional		$41.69	$58.88	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $19.05 / $28.84	Professional	26	$13.49	$19.05	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $39.81 / $60.26	Professional	TC	$31.62	$39.81	$60.26