Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $19.05 / $20.42	Facility	26	$15.85	$19.05	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $95.50	Professional		$30.90	$43.65	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.59 / $28.84	Professional	26	$10.00	$12.59	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $51.29	Professional	TC	$22.91	$30.90	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $83.18	Professional		$33.11	$53.70	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.18 / $21.88	Professional	26	$9.33	$13.18	$21.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $30.90 / $51.29	Professional	TC	$25.12	$30.90	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $66.07	Professional		$44.67	$51.29	$66.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $16.60 / $21.38	Professional	26	$14.45	$16.60	$21.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $33.88 / $43.65	Professional	TC	$30.20	$33.88	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $89.13	Professional		$39.81	$57.54	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.20 / $26.92	Professional	26	$11.75	$18.20	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.02 / $60.26	Professional	TC	$28.18	$38.02	$60.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $91.20	Professional		$77.62	$81.28	$91.20
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $22.39 / $26.30	Professional	26	$10.72	$22.39	$26.30
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $56.23 / $58.88	Professional	TC	$33.88	$56.23	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $81.28	Professional		$40.74	$46.77	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.79 / $24.55	Professional	26	$12.02	$14.79	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.11 / $58.88	Professional	TC	$28.18	$33.11	$58.88