Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.50 / $21.71 / $24.90	Facility	26	$16.50	$21.71	$24.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $55.15 / $102.05	Professional		$33.03	$55.15	$102.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.31 / $20.32 / $39.14	Professional	26	$13.31	$20.32	$39.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $41.56 / $78.11	Professional	TC	$20.19	$41.56	$78.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $16.48 / $24.26	Professional	26	$13.88	$16.48	$24.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $53.52 / $59.47	Professional		$40.44	$53.52	$59.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.64 / $23.35 / $25.94	Professional	26	$17.64	$23.35	$25.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.80 / $30.18 / $33.53	Professional	TC	$22.80	$30.18	$33.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.07 / $65.03 / $86.74	Professional		$37.07	$65.03	$86.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.88 / $22.16 / $29.87	Professional	26	$14.88	$22.16	$29.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.76 / $38.61 / $61.31	Professional	TC	$24.76	$38.61	$61.31
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $18.96 / $27.90 / $27.90	Professional	26	$18.96	$27.90	$27.90
United Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $59.81 / $81.56	Professional		$36.42	$59.81	$81.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.62 / $17.87 / $29.73	Professional	26	$14.62	$17.87	$29.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $37.33 / $52.07	Professional	TC	$22.01	$37.33	$52.07