Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.96 / $22.96 / $34.44	Facility	26	$22.96	$22.96	$34.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $83.19 / $173.81	Professional		$61.64	$83.19	$173.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.84 / $17.80 / $26.71	Professional	26	$14.84	$17.80	$26.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.00 / $56.75 / $109.00	Professional	TC	$46.00	$56.75	$109.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $105.00 / $105.00	Professional		$54.19	$105.00	$105.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.70 / $31.48 / $31.48	Professional	26	$15.70	$31.48	$31.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $93.38 / $103.76	Professional		$70.56	$93.38	$103.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.09 / $23.95 / $26.61	Professional	26	$18.09	$23.95	$26.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.46 / $69.44 / $77.15	Professional	TC	$52.46	$69.44	$77.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $93.34 / $139.85	Professional		$66.23	$93.34	$139.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.36 / $24.29 / $33.71	Professional	26	$16.36	$24.29	$33.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.63 / $67.31 / $104.54	Professional	TC	$47.63	$67.31	$104.54
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $29.76 / $31.79 / $36.20	Professional	26	$29.76	$31.79	$36.20
United Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $87.71 / $141.36	Professional		$63.01	$87.71	$141.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.80 / $20.65 / $33.86	Professional	26	$16.80	$20.65	$33.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.93 / $62.72 / $105.66	Professional	TC	$45.93	$62.72	$105.66