Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $12.88 / $13.80	Facility	26	$10.47	$12.88	$13.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $79.43	Professional		$21.88	$31.62	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $19.50	Professional	26	$6.03	$7.94	$19.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $34.67	Professional	TC	$15.85	$21.88	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $58.88	Professional		$21.88	$27.54	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $11.22 / $14.13	Professional	26	$6.46	$11.22	$14.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $38.02	Professional	TC	$19.05	$25.12	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $45.71	Professional		$31.62	$36.31	$45.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.96 / $14.13	Professional	26	$9.55	$10.96	$14.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $25.12 / $31.62	Professional	TC	$21.88	$25.12	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $61.66	Professional		$28.18	$42.66	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $17.38	Professional	26	$7.94	$12.02	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $26.92 / $43.65	Professional	TC	$20.42	$26.92	$43.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $67.61	Professional		$57.54	$57.54	$67.61
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.49 / $18.20	Professional	26	$12.88	$15.49	$18.20
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $43.65	Professional	TC	$21.88	$28.84	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $56.23	Professional		$27.54	$32.36	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $16.22	Professional	26	$7.94	$9.77	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.44 / $39.81	Professional	TC	$19.05	$23.44	$39.81