Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $15.14 / $15.85	Facility	26	$12.02	$15.14	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $50.12	Professional		$21.88	$32.36	$50.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $21.88	Professional	26	$7.08	$8.91	$21.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $41.69	Professional	TC	$15.85	$21.88	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $60.26	Professional		$25.12	$41.69	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.59 / $16.60	Professional	26	$7.08	$7.59	$16.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.42 / $23.99	Professional	TC	$16.60	$20.42	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $46.77	Professional		$31.62	$36.31	$46.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $12.88 / $16.22	Professional	26	$11.22	$12.88	$16.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $23.99 / $30.20	Professional	TC	$20.89	$23.99	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $63.10	Professional		$28.18	$43.65	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $19.95	Professional	26	$9.33	$14.13	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.84 / $41.69	Professional	TC	$20.42	$28.84	$41.69
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $56.23	Professional		$47.86	$47.86	$56.23
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $17.78 / $19.05	Professional	26	$7.94	$17.78	$19.05
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.44 / $27.54	Professional	TC	$19.05	$23.44	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $58.88	Professional		$28.84	$35.48	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.48 / $19.05	Professional	26	$9.12	$11.48	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $23.44 / $40.74	Professional	TC	$19.50	$23.44	$40.74