Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.46 / $18.84 / $22.46	Facility	26	$17.46	$18.84	$22.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $50.20 / $78.70	Professional		$38.86	$50.20	$78.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $17.28 / $24.25	Professional	26	$11.63	$17.28	$24.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $31.99 / $55.15	Professional	TC	$27.23	$31.99	$55.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.68 / $21.68 / $21.68	Professional	26	$21.68	$21.68	$21.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $55.87 / $62.08	Professional		$42.21	$55.87	$62.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.50 / $19.20 / $21.33	Professional	26	$14.50	$19.20	$21.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.71 / $36.68 / $40.75	Professional	TC	$27.71	$36.68	$40.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $59.36 / $83.58	Professional		$42.77	$59.36	$83.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $19.39 / $26.31	Professional	26	$12.84	$19.39	$26.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.69 / $38.15 / $56.18	Professional	TC	$27.69	$38.15	$56.18
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $24.93 / $24.93 / $24.93	Professional	26	$24.93	$24.93	$24.93
United Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $48.70 / $84.47	Professional		$41.79	$48.70	$84.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $16.44 / $26.56	Professional	26	$13.00	$16.44	$26.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.33 / $33.14 / $59.11	Professional	TC	$28.33	$33.14	$59.11