Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.82 / $47.67 / $59.63	Facility	26	$39.82	$47.67	$59.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.39 / $259.63 / $283.70	Professional		$189.39	$259.63	$283.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.74 / $39.82 / $45.51	Professional	26	$25.74	$39.82	$45.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.46 / $207.44 / $243.88	Professional	TC	$159.46	$207.44	$243.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $391.45 / $391.45 / $391.45	Professional		$391.45	$391.45	$391.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.47 / $59.29 / $61.89	Professional	26	$47.47	$59.29	$61.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $337.42 / $337.42 / $337.42	Professional	TC	$337.42	$337.42	$337.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.64 / $347.61 / $386.23	Professional		$262.64	$347.61	$386.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.18 / $50.53 / $56.14	Professional	26	$38.18	$50.53	$56.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.46 / $297.08 / $330.09	Professional	TC	$224.46	$297.08	$330.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $368.86 / $453.51	Professional		$196.69	$368.86	$453.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.32 / $55.08 / $76.61	Professional	26	$34.32	$55.08	$76.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $156.72 / $330.00 / $387.59	Professional	TC	$156.72	$330.00	$387.59
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $450.17 / $450.17 / $450.17	Professional		$450.17	$450.17	$450.17
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $54.59 / $68.18 / $71.17	Professional	26	$54.59	$68.18	$71.17
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $388.03 / $388.03 / $388.03	Professional	TC	$388.03	$388.03	$388.03
United Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $272.68 / $464.84	Professional		$173.09	$272.68	$464.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.60 / $40.34 / $69.06	Professional	26	$33.60	$40.34	$69.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.28 / $234.26 / $398.26	Professional	TC	$135.28	$234.26	$398.26