Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.63 / $21.47 / $25.76	Facility	26	$19.63	$21.47	$25.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $55.59 / $87.42	Professional		$42.24	$55.59	$87.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $19.05 / $23.80	Professional	26	$13.11	$19.05	$23.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.12 / $38.60 / $55.90	Professional	TC	$29.12	$38.60	$55.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $72.56 / $72.56	Professional		$72.56	$72.56	$72.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $24.75 / $28.19	Professional	26	$11.50	$24.75	$28.19
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.23 / $53.23 / $53.23	Professional	TC	$53.23	$53.23	$53.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $66.11 / $73.45	Professional		$49.95	$66.11	$73.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $23.81 / $26.45	Professional	26	$17.98	$23.81	$26.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.97 / $42.31 / $47.01	Professional	TC	$31.97	$42.31	$47.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $71.52 / $92.05	Professional		$47.15	$71.52	$92.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.76 / $22.45 / $30.46	Professional	26	$14.76	$22.45	$30.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.60 / $46.69 / $60.52	Professional	TC	$32.60	$46.69	$60.52
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $83.46 / $83.46	Professional		$83.46	$83.46	$83.46
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $28.46 / $32.42	Professional	26	$19.39	$28.46	$32.42
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $61.21 / $61.21 / $61.21	Professional	TC	$61.21	$61.21	$61.21
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $55.24 / $93.55	Professional		$46.77	$55.24	$93.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $18.93 / $32.52	Professional	26	$14.94	$18.93	$32.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.77 / $36.04 / $63.67	Professional	TC	$30.77	$36.04	$63.67