Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $40.74 / $43.65	Facility	26	$33.88	$40.74	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $194.98	Professional		$87.10	$114.82	$194.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $25.12 / $56.23	Professional	26	$18.20	$25.12	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $89.13 / $128.82	Professional	TC	$69.18	$89.13	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $263.03	Professional		$102.33	$102.33	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $43.65 / $50.12	Professional	26	$20.42	$43.65	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $165.96	Professional		$112.20	$128.82	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $34.67 / $43.65	Professional	26	$30.20	$34.67	$43.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $95.50 / $120.23	Professional	TC	$83.18	$95.50	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $239.88	Professional		$100.00	$147.91	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.02 / $53.70	Professional	26	$25.12	$38.02	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $104.71 / $173.78	Professional	TC	$74.13	$104.71	$173.78
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $50.12 / $56.23	Professional	26	$50.12	$50.12	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $218.78	Professional		$102.33	$123.03	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.20 / $52.48	Professional	26	$25.12	$30.20	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $93.33 / $165.96	Professional	TC	$75.86	$93.33	$165.96