Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.40 / $36.86 / $44.23	Facility	26	$33.40	$36.86	$44.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $103.14 / $149.43	Professional		$79.45	$103.14	$149.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.17 / $34.13 / $59.78	Professional	26	$23.17	$34.13	$59.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.14 / $78.43 / $115.31	Professional	TC	$60.14	$78.43	$115.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $147.75 / $147.75	Professional		$147.75	$147.75	$147.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.22 / $42.95 / $47.95	Professional	26	$28.22	$42.95	$47.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $124.40 / $138.22	Professional		$93.99	$124.40	$138.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $39.15 / $43.51	Professional	26	$29.59	$39.15	$43.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.40 / $85.24 / $94.71	Professional	TC	$64.40	$85.24	$94.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $123.41 / $172.33	Professional		$88.72	$123.41	$172.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $36.92 / $51.43	Professional	26	$25.05	$36.92	$51.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.88 / $86.54 / $123.96	Professional	TC	$61.88	$86.54	$123.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $169.91 / $169.91	Professional		$169.91	$169.91	$169.91
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $32.45 / $49.39 / $55.14	Professional	26	$32.45	$49.39	$55.14
United Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $102.47 / $172.94	Professional		$87.05	$102.47	$172.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.81 / $32.31 / $51.94	Professional	26	$24.81	$32.31	$51.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.34 / $73.92 / $124.47	Professional	TC	$59.34	$73.92	$124.47