Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $40.74 / $45.71	Facility	26	$34.67	$40.74	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $190.55	Professional		$81.28	$117.49	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.70 / $57.54	Professional	26	$19.95	$25.70	$57.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $85.11 / $125.89	Professional	TC	$66.07	$85.11	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $51.29 / $53.70	Professional	26	$43.65	$51.29	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $169.82	Professional		$114.82	$131.83	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $36.31 / $46.77	Professional	26	$31.62	$36.31	$46.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $95.50 / $123.03	Professional	TC	$83.18	$95.50	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $234.42	Professional		$102.33	$141.25	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $39.81 / $56.23	Professional	26	$26.92	$39.81	$56.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $100.00 / $169.82	Professional	TC	$72.44	$100.00	$169.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $58.88 / $61.66	Professional	26	$50.12	$58.88	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $223.87	Professional		$95.50	$125.89	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $31.62 / $54.95	Professional	26	$26.30	$31.62	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $95.50 / $165.96	Professional	TC	$70.79	$95.50	$165.96