Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $19.95 / $21.88	Facility	26	$16.60	$19.95	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $79.43	Professional		$28.84	$41.69	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.88 / $26.92	Professional	26	$9.55	$12.88	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.92 / $42.66	Professional	TC	$19.05	$26.92	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $79.43	Professional		$28.18	$33.11	$79.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $19.05 / $23.44	Professional	26	$10.23	$19.05	$23.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $24.55 / $29.51	Professional	TC	$23.99	$24.55	$29.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $61.66	Professional		$42.66	$47.86	$61.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $18.62 / $23.99	Professional	26	$16.22	$18.62	$23.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $29.51 / $38.02	Professional	TC	$25.70	$29.51	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $83.18	Professional		$37.15	$57.54	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.50 / $29.51	Professional	26	$13.18	$19.50	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $51.29	Professional	TC	$25.70	$36.31	$51.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.12 / $26.30	Professional	26	$19.95	$25.12	$26.30
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $28.84 / $33.88	Professional	TC	$27.54	$28.84	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $77.62	Professional		$38.02	$45.71	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $15.49 / $27.54	Professional	26	$13.18	$15.49	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $29.51 / $51.29	Professional	TC	$24.55	$29.51	$51.29