Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.13 / $11.22 / $13.52	Facility	26	$9.13	$11.22	$13.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $34.90 / $49.69	Professional		$25.77	$34.90	$49.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $10.83 / $15.12	Professional	26	$7.53	$10.83	$15.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $23.86 / $39.84	Professional	TC	$18.55	$23.86	$39.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $45.62 / $47.63	Professional		$45.62	$45.62	$47.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.17 / $13.44 / $13.70	Professional	26	$13.17	$13.44	$13.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $42.38 / $47.09	Professional		$32.02	$42.38	$47.09
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 $22.45 / $29.72 / $33.02	Professional	TC	$22.45	$29.72	$33.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $42.77 / $57.94	Professional		$28.64	$42.77	$57.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $12.02 / $16.30	Professional	26	$8.01	$12.02	$16.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.69 / $28.21 / $38.27	Professional	TC	$20.69	$28.21	$38.27
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $52.46 / $54.77	Professional		$52.46	$52.46	$54.77
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $15.46 / $15.76	Professional	26	$13.12	$15.46	$15.76
United Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $34.54 / $56.52	Professional		$28.16	$34.54	$56.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $10.05 / $16.46	Professional	26	$8.00	$10.05	$16.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.16 / $22.56 / $40.28	Professional	TC	$20.16	$22.56	$40.28