Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $15.14 / $16.60	Facility	26	$12.88	$15.14	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $46.77	Professional		$19.05	$28.84	$46.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.91 / $19.05	Professional	26	$6.31	$8.91	$19.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	52	$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $19.95 / $32.36	Professional	TC	$12.59	$19.95	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $44.67 / $53.70	Professional		$19.95	$44.67	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $14.79 / $14.79	Professional	26	$14.79	$14.79	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $30.90 / $36.31	Professional	TC	$30.90	$30.90	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $57.54	Professional		$38.90	$44.67	$57.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $13.49 / $17.38	Professional	26	$11.75	$13.49	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $30.90 / $39.81	Professional	TC	$26.92	$30.90	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $64.57	Professional		$28.84	$46.77	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.45 / $19.50	Professional	26	$9.33	$14.45	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $42.66	Professional	TC	$20.89	$30.20	$42.66
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Professional	26	$16.98	$16.98	$16.98
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $35.48 / $35.48	Professional	TC	$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $58.88	Professional		$28.18	$37.15	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.96 / $18.62	Professional	26	$8.71	$10.96	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.70 / $40.74	Professional	TC	$19.50	$25.70	$40.74