Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.87 / $17.22 / $20.52	Facility	26	$16.87	$17.22	$20.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $48.86 / $71.06	Professional		$37.97	$48.86	$71.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $16.16 / $23.95	Professional	26	$10.75	$16.16	$23.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $31.99 / $52.40	Professional	TC	$27.23	$31.99	$52.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $63.77 / $63.77	Professional		$63.77	$63.77	$63.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $19.64 / $20.88	Professional	26	$9.66	$19.64	$20.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $42.89 / $42.89 / $42.89	Professional	TC	$42.89	$42.89	$42.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $58.87 / $65.41	Professional		$44.48	$58.87	$65.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.62 / $19.35 / $21.50	Professional	26	$14.62	$19.35	$21.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.86 / $39.52 / $43.91	Professional	TC	$29.86	$39.52	$43.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $57.90 / $82.14	Professional		$41.81	$57.90	$82.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $18.28 / $24.77	Professional	26	$11.88	$18.28	$24.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $37.74 / $56.18	Professional	TC	$28.00	$37.74	$56.18
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $77.05 / $77.05	Professional		$77.05	$77.05	$77.05
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $16.01 / $22.61 / $24.01	Professional	26	$16.01	$22.61	$24.01
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $49.32 / $49.32 / $49.32	Professional	TC	$49.32	$49.32	$49.32
United Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $47.96 / $83.81	Professional		$40.51	$47.96	$83.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $19.41 / $24.68	Professional	26	$12.62	$19.41	$24.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.98 / $33.70 / $59.13	Professional	TC	$27.98	$33.70	$59.13