Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $23.44 / $26.92	Facility	26	$21.38	$23.44	$26.92
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.62 / $38.90 / $45.71	Facility	TC	$31.62	$38.90	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $70.79	Professional		$30.20	$45.71	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.80 / $32.36	Professional	26	$9.33	$13.80	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $45.71	Professional	TC	$20.89	$29.51	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $45.71	Professional		$25.12	$32.36	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $10.23 / $12.30	Professional	26	$10.23	$10.23	$12.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	TC	$23.44	$23.44	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $70.79	Professional		$48.98	$56.23	$70.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.88 / $28.18	Professional	26	$19.05	$21.88	$28.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $33.88 / $43.65	Professional	TC	$29.51	$33.88	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $89.13	Professional		$40.74	$64.57	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $22.91 / $30.90	Professional	26	$13.80	$22.91	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $39.81 / $57.54	Professional	TC	$26.92	$39.81	$57.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $83.18	Professional		$39.81	$47.86	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.98 / $29.51	Professional	26	$12.88	$16.98	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $30.90 / $53.70	Professional	TC	$26.30	$30.90	$53.70