Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $11.48 / $13.80	Facility	26	$9.33	$11.48	$13.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $50.12	Professional		$21.88	$30.90	$50.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $7.94 / $15.49	Professional	26	$5.89	$7.94	$15.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $32.36	Professional	TC	$15.85	$21.88	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $27.54 / $54.95	Professional		$19.50	$27.54	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $11.48 / $15.14	Professional	26	$5.37	$11.48	$15.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.39 / $38.02	Professional	TC	$17.78	$22.39	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $46.77	Professional		$32.36	$36.31	$46.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.96 / $14.13	Professional	26	$9.55	$10.96	$14.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $25.70 / $33.11	Professional	TC	$22.39	$25.70	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $58.88	Professional		$28.18	$42.66	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $18.20	Professional	26	$7.94	$12.02	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.18 / $42.66	Professional	TC	$20.42	$28.18	$42.66
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $63.10	Professional		$42.66	$47.86	$63.10
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $16.22 / $17.38	Professional	26	$13.18	$16.22	$17.38
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $26.30 / $43.65	Professional	TC	$24.55	$26.30	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $56.23	Professional		$27.54	$33.11	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $16.60	Professional	26	$7.94	$9.77	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $22.91 / $40.74	Professional	TC	$19.50	$22.91	$40.74