Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.56 / $11.70 / $13.52	Facility	26	$10.56	$11.70	$13.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $38.57 / $67.88	Professional		$29.89	$38.57	$67.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.21 / $10.83 / $15.12	Professional	26	$7.21	$10.83	$15.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $27.52 / $40.10	Professional	TC	$22.57	$27.52	$40.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $13.17 / $13.44	Professional	26	$9.16	$13.17	$13.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.29 / $36.29 / $36.29	Professional	TC	$36.29	$36.29	$36.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $46.11 / $51.23	Professional		$34.84	$46.11	$51.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $12.66 / $14.07	Professional	26	$9.57	$12.66	$14.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.27 / $33.44 / $37.15	Professional	TC	$25.27	$33.44	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $43.64 / $64.48	Professional		$30.65	$43.64	$64.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $12.02 / $16.30	Professional	26	$7.95	$12.02	$16.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $30.37 / $47.50	Professional	TC	$21.65	$30.37	$47.50
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $15.15 / $15.15 / $15.46	Professional	26	$15.15	$15.15	$15.46
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $37.08 / $64.98	Professional		$29.40	$37.08	$64.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $10.19 / $16.46	Professional	26	$8.11	$10.19	$16.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.76 / $28.03 / $48.01	Professional	TC	$20.76	$28.03	$48.01