Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.56 / $11.61 / $13.93	Facility	26	$10.56	$11.61	$13.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $33.28 / $45.52	Professional		$26.31	$33.28	$45.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.55 / $9.03 / $12.99	Professional	26	$6.55	$9.03	$12.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $22.23 / $42.06	Professional	TC	$19.38	$22.23	$42.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $50.04 / $50.04	Professional		$50.04	$50.04	$50.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.85 / $13.44 / $15.30	Professional	26	$6.85	$13.44	$15.30
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $29.68 / $29.68	Professional	TC	$25.10	$29.68	$29.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $41.45 / $46.05	Professional		$31.31	$41.45	$46.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $12.66 / $14.07	Professional	26	$9.57	$12.66	$14.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $28.78 / $31.98	Professional	TC	$21.75	$28.78	$31.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $41.72 / $57.04	Professional		$29.22	$41.72	$57.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $12.02 / $16.21	Professional	26	$7.95	$12.02	$16.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $27.32 / $40.06	Professional	TC	$20.23	$27.32	$40.06
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $57.55 / $57.55	Professional		$57.55	$57.55	$57.55
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $15.46 / $17.60	Professional	26	$7.88	$15.46	$17.60
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $28.87 / $28.87 / $34.13	Professional	TC	$28.87	$28.87	$34.13
United Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $33.45 / $57.65	Professional		$27.58	$33.45	$57.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $10.19 / $16.23	Professional	26	$8.11	$10.19	$16.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.00 / $26.81 / $42.22	Professional	TC	$19.00	$26.81	$42.22