Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.14 / $43.14 / $52.67	Facility	26	$43.14	$43.14	$52.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $89.98 / $134.96	Professional		$69.23	$89.98	$134.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.62 / $42.89 / $69.02	Professional	26	$28.62	$42.89	$69.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.61 / $52.77 / $81.54	Professional	TC	$40.61	$52.77	$81.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $127.56 / $127.56	Professional		$127.56	$127.56	$127.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.28 / $53.41 / $58.39	Professional	26	$36.28	$53.41	$58.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $100.59 / $111.77	Professional		$76.00	$100.59	$111.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.95 / $44.93 / $49.92	Professional	26	$33.95	$44.93	$49.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.06 / $55.67 / $61.85	Professional	TC	$42.06	$55.67	$61.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $106.90 / $154.63	Professional		$75.43	$106.90	$154.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.61 / $47.63 / $64.81	Professional	26	$31.61	$47.63	$64.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.10 / $58.93 / $87.41	Professional	TC	$43.10	$58.93	$87.41
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $146.69 / $146.69	Professional		$146.69	$146.69	$146.69
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $41.72 / $61.42 / $67.15	Professional	26	$41.72	$61.42	$67.15
United Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $92.31 / $150.71	Professional		$75.12	$92.31	$150.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $39.02 / $65.43	Professional	26	$32.15	$39.02	$65.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.76 / $49.47 / $86.40	Professional	TC	$41.76	$49.47	$86.40