Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.83 / $26.84 / $31.89	Facility	26	$26.83	$26.84	$31.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $102.35 / $158.83	Professional		$73.73	$102.35	$158.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $24.99 / $35.08	Professional	26	$17.07	$24.99	$35.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $75.51 / $120.83	Professional	TC	$55.57	$75.51	$120.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.70 / $31.70 / $31.70	Professional	26	$31.70	$31.70	$31.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $108.89 / $120.99	Professional		$82.27	$108.89	$120.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.84 / $27.59 / $30.65	Professional	26	$20.84	$27.59	$30.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $61.43 / $81.31 / $90.34	Professional	TC	$61.43	$81.31	$90.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $111.58 / $165.89	Professional		$79.19	$111.58	$165.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $28.40 / $39.24	Professional	26	$19.14	$28.40	$39.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.52 / $81.06 / $125.62	Professional	TC	$57.52	$81.06	$125.62
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $36.46 / $36.46 / $36.46	Professional	26	$36.46	$36.46	$36.46
United Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $99.53 / $170.18	Professional		$75.36	$99.53	$170.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.17 / $24.16 / $39.61	Professional	26	$19.17	$24.16	$39.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.79 / $75.45 / $131.87	Professional	TC	$56.79	$75.45	$131.87