Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.58 / $10.58 / $15.87	Facility	26	$10.58	$10.58	$15.87
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.23 / $22.23 / $31.27	Facility	TC	$22.23	$22.23	$31.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $29.54 / $40.47	Professional		$23.57	$29.54	$40.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.51 / $8.32 / $12.35	Professional	26	$6.51	$8.32	$12.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $20.90 / $28.36	Professional	TC	$16.67	$20.90	$28.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $12.86 / $13.12	Professional	26	$5.88	$12.86	$13.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $34.65 / $38.51	Professional		$26.19	$34.65	$38.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $11.03 / $12.26	Professional	26	$8.34	$11.03	$12.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $23.63 / $26.25	Professional	TC	$17.85	$23.63	$26.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $35.97 / $53.28	Professional		$25.67	$35.97	$53.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $11.49 / $15.60	Professional	26	$7.67	$11.49	$15.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.96 / $24.54 / $37.67	Professional	TC	$17.96	$24.54	$37.67
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $14.79 / $16.85	Professional	26	$13.80	$14.79	$16.85
United Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $31.19 / $53.26	Professional		$25.78	$31.19	$53.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $12.45 / $15.75	Professional	26	$7.66	$12.45	$15.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $25.52 / $37.67	Professional	TC	$17.61	$25.52	$37.67