Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.31 / $16.64 / $19.60	Facility	26	$15.31	$16.64	$19.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $44.74 / $57.64	Professional		$34.97	$44.74	$57.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $15.31 / $22.08	Professional	26	$10.18	$15.31	$22.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.79 / $28.74 / $41.34	Professional	TC	$24.79	$28.74	$41.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $58.28 / $58.28	Professional		$34.60	$58.28	$58.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $19.80 / $22.18	Professional	26	$9.43	$19.80	$22.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $45.53 / $45.53 / $45.53	Professional	TC	$45.53	$45.53	$45.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $54.13 / $60.14	Professional		$40.90	$54.13	$60.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.87 / $18.35 / $20.39	Professional	26	$13.87	$18.35	$20.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $35.78 / $39.75	Professional	TC	$27.03	$35.78	$39.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $54.04 / $75.84	Professional		$38.52	$54.04	$75.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $17.41 / $23.48	Professional	26	$11.26	$17.41	$23.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.45 / $34.64 / $51.22	Professional	TC	$24.45	$34.64	$51.22
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $21.95 / $22.77 / $25.51	Professional	26	$21.95	$22.77	$25.51
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $52.36 / $52.36 / $52.36	Professional	TC	$52.36	$52.36	$52.36
United Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $44.51 / $77.31	Professional		$36.50	$44.51	$77.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $15.70 / $23.38	Professional	26	$11.95	$15.70	$23.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.29 / $29.96 / $54.04	Professional	TC	$24.29	$29.96	$54.04