Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.73 / $17.73 / $26.61	Facility	26	$17.73	$17.73	$26.61
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.33 / $28.33 / $41.92	Facility	TC	$28.33	$28.33	$41.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $46.08 / $70.51	Professional		$34.22	$46.08	$70.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $14.42 / $22.39	Professional	26	$11.32	$14.42	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.97 / $28.33 / $40.22	Professional	TC	$21.97	$28.33	$40.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $33.40 / $33.40	Professional		$33.40	$33.40	$33.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.01 / $21.53 / $23.51	Professional	26	$12.01	$21.53	$23.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.68 / $41.68 / $41.68	Professional	TC	$41.68	$41.68	$41.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $50.54 / $56.16	Professional		$38.19	$50.54	$56.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.13 / $21.25	Professional	26	$14.45	$19.13	$21.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.74 / $31.42 / $34.90	Professional	TC	$23.74	$31.42	$34.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $50.72 / $77.20	Professional		$35.99	$50.72	$77.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $19.27 / $26.05	Professional	26	$12.50	$19.27	$26.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.52 / $31.53 / $50.35	Professional	TC	$23.52	$31.53	$50.35
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $24.28 / $24.76 / $27.04	Professional	26	$24.28	$24.76	$27.04
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $47.93 / $47.93 / $47.93	Professional	TC	$47.93	$47.93	$47.93
United Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $44.72 / $74.98	Professional		$36.61	$44.72	$74.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.97 / $15.72 / $25.88	Professional	26	$12.97	$15.72	$25.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.46 / $27.79 / $49.52	Professional	TC	$20.46	$27.79	$49.52