Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $52.48	Facility	26	$42.66	$42.66	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $102.33	Professional		$57.54	$77.62	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $33.11 / $79.43	Professional	26	$25.70	$33.11	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $46.77 / $69.18	Professional	TC	$33.88	$46.77	$69.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $39.81 / $56.23	Professional	26	$25.12	$39.81	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $112.20	Professional		$75.86	$87.10	$112.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $38.90 / $50.12	Professional	26	$33.88	$38.90	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $47.86 / $61.66	Professional	TC	$41.69	$47.86	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $162.18	Professional		$75.86	$107.15	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $47.86 / $67.61	Professional	26	$31.62	$47.86	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $60.26 / $93.33	Professional	TC	$41.69	$60.26	$93.33
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $60.26 / $93.33	Professional	26	$41.69	$60.26	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $151.36	Professional		$72.44	$87.10	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $38.90 / $66.07	Professional	26	$30.90	$38.90	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $48.98 / $83.18	Professional	TC	$41.69	$48.98	$83.18