Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $20.42 / $30.63	Facility	26	$20.42	$20.42	$30.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $29.15 / $29.15 / $44.82	Facility	TC	$29.15	$29.15	$44.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $45.38 / $64.77	Professional		$35.49	$45.38	$64.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.31 / $22.41	Professional	26	$12.02	$15.31	$22.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.47 / $29.15 / $42.36	Professional	TC	$23.47	$29.15	$42.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.41 / $23.41 / $23.41	Professional	26	$23.41	$23.41	$23.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $54.74 / $60.82	Professional		$41.36	$54.74	$60.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.63 / $22.01 / $24.46	Professional	26	$16.63	$22.01	$24.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.72 / $32.72 / $36.36	Professional	TC	$24.72	$32.72	$36.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.94 / $82.61	Professional		$38.90	$54.94	$82.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $22.18 / $29.98	Professional	26	$13.95	$22.18	$29.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.42 / $32.85 / $52.32	Professional	TC	$24.42	$32.85	$52.32
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $26.92 / $27.37	Professional	26	$26.92	$26.92	$27.37
United Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $48.10 / $85.86	Professional		$39.36	$48.10	$85.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.27 / $18.87 / $29.88	Professional	26	$15.27	$18.87	$29.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.54 / $29.60 / $52.92	Professional	TC	$23.54	$29.60	$52.92