Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.19 / $17.20 / $25.80	Facility	26	$17.19	$17.20	$25.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.74 / $28.74 / $43.38	Facility	TC	$28.74	$28.74	$43.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $45.94 / $75.87	Professional		$34.49	$45.94	$75.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.05 / $16.43 / $34.97	Professional	26	$11.05	$16.43	$34.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $28.74 / $51.90	Professional	TC	$22.72	$28.74	$51.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $20.21 / $21.02	Professional	26	$11.74	$20.21	$21.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.03 / $39.03 / $45.71	Professional	TC	$39.03	$39.03	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $50.83 / $56.48	Professional		$38.40	$50.83	$56.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.01 / $18.54 / $20.60	Professional	26	$14.01	$18.54	$20.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.40 / $32.29 / $35.88	Professional	TC	$24.40	$32.29	$35.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $51.01 / $76.69	Professional		$36.28	$51.01	$76.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.21 / $18.63 / $25.25	Professional	26	$12.21	$18.63	$25.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.08 / $32.40 / $51.66	Professional	TC	$24.08	$32.40	$51.66
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $23.24 / $23.71 / $24.17	Professional	26	$23.24	$23.71	$24.17
United Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $43.77 / $76.00	Professional		$36.45	$43.77	$76.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.60 / $15.20 / $25.27	Professional	26	$12.60	$15.20	$25.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.21 / $29.24 / $51.32	Professional	TC	$23.21	$29.24	$51.32