Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $20.89 / $21.88	Facility	26	$17.38	$20.89	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $70.79	Professional		$32.36	$42.66	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $26.30	Professional	26	$8.91	$12.02	$26.30
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 $34.67 / $34.67 / $60.26	Professional		$34.67	$34.67	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.30 / $21.88	Professional	26	$10.23	$12.30	$21.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	TC	$26.92	$26.92	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $61.66	Professional		$42.66	$48.98	$61.66
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 $27.54 / $31.62 / $40.74	Professional	TC	$27.54	$31.62	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $89.13	Professional		$39.81	$60.26	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.50 / $27.54	Professional	26	$12.88	$19.50	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.02 / $58.88	Professional	TC	$27.54	$38.02	$58.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $25.12 / $25.12	Professional	26	$25.12	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $83.18	Professional		$40.74	$47.86	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.85 / $26.30	Professional	26	$12.59	$15.85	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.11 / $58.88	Professional	TC	$28.18	$33.11	$58.88