Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.00 / $19.00 / $28.50	Facility	26	$19.00	$19.00	$28.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $61.59 / $96.43	Professional		$42.17	$61.59	$96.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $15.46 / $21.87	Professional	26	$12.51	$15.46	$21.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.66 / $42.31 / $60.05	Professional	TC	$29.66	$42.31	$60.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $73.48	Professional		$73.48	$73.48	$73.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.63 / $19.63 / $25.99	Professional	26	$19.63	$19.63	$25.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $53.86 / $53.86 / $53.86	Professional	TC	$53.86	$53.86	$53.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $68.98 / $76.66	Professional		$52.13	$68.98	$76.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.47 / $20.48 / $22.75	Professional	26	$15.47	$20.48	$22.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.65 / $48.52 / $53.91	Professional	TC	$36.65	$48.52	$53.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $71.42 / $94.41	Professional		$47.97	$71.42	$94.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $20.67 / $28.29	Professional	26	$13.80	$20.67	$28.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.47 / $50.58 / $66.12	Professional	TC	$34.47	$50.58	$66.12
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $84.51	Professional		$84.51	$84.51	$84.51
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $22.57 / $22.57 / $29.89	Professional	26	$22.57	$22.57	$29.89
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $61.94 / $61.94 / $61.94	Professional	TC	$61.94	$61.94	$61.94
United Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $61.08 / $95.33	Professional		$46.82	$61.08	$95.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $17.32 / $28.57	Professional	26	$12.89	$17.32	$28.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.31 / $42.86 / $68.78	Professional	TC	$32.31	$42.86	$68.78