Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.92 / $22.09 / $27.97	Facility	26	$20.92	$22.09	$27.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.99 / $36.89 / $45.42	Facility	TC	$31.99	$36.89	$45.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $54.09 / $73.62	Professional		$39.25	$54.09	$73.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.45 / $20.68 / $37.51	Professional	26	$12.45	$20.68	$37.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.17 / $31.99 / $49.36	Professional	TC	$27.17	$31.99	$49.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.25 / $22.10 / $26.94	Professional	26	$21.25	$22.10	$26.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $64.39 / $71.54	Professional		$48.65	$64.39	$71.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.16 / $25.35 / $28.17	Professional	26	$19.16	$25.35	$28.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.49 / $39.03 / $43.37	Professional	TC	$29.49	$39.03	$43.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $63.42 / $82.38	Professional		$43.36	$63.42	$82.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.20 / $23.58 / $31.08	Professional	26	$15.20	$23.58	$31.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.45 / $39.69 / $52.37	Professional	TC	$27.45	$39.69	$52.37
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $24.44 / $24.44 / $25.42	Professional	26	$24.44	$24.44	$25.42
United Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $54.29 / $82.82	Professional		$41.17	$54.29	$82.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.65 / $17.76 / $28.32	Professional	26	$13.65	$17.76	$28.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.47 / $34.56 / $53.91	Professional	TC	$26.47	$34.56	$53.91