Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $18.68 / $21.94	Facility	26	$16.60	$18.68	$21.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $47.42 / $67.55	Professional		$35.36	$47.42	$67.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $16.12 / $21.37	Professional	26	$11.50	$16.12	$21.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.75 / $47.25	Professional	TC	$23.44	$28.75	$47.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $64.93 / $72.41	Professional		$64.93	$64.93	$72.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.29 / $21.81 / $25.34	Professional	26	$14.29	$21.81	$25.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.74 / $35.74 / $35.74	Professional	TC	$35.74	$35.74	$35.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $55.81 / $62.01	Professional		$42.17	$55.81	$62.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.19 / $21.43 / $23.81	Professional	26	$16.19	$21.43	$23.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $34.38 / $38.20	Professional	TC	$25.98	$34.38	$38.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $57.49 / $79.00	Professional		$39.36	$57.49	$79.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.03 / $20.18 / $27.42	Professional	26	$13.03	$20.18	$27.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.18 / $34.75 / $48.74	Professional	TC	$26.18	$34.75	$48.74
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $74.67 / $83.27	Professional		$74.67	$74.67	$83.27
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $16.43 / $25.08 / $29.14	Professional	26	$16.43	$25.08	$29.14
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $41.10 / $41.10 / $41.10	Professional	TC	$41.10	$41.10	$41.10
United Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $45.89 / $78.31	Professional		$39.29	$45.89	$78.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $17.25 / $27.70	Professional	26	$13.19	$17.25	$27.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.80 / $30.24 / $51.32	Professional	TC	$24.80	$30.24	$51.32