Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.19 / $42.03 / $52.23	Facility	26	$35.19	$42.03	$52.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $69.88 / $665.55	Professional		$50.96	$69.88	$665.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.63 / $35.19 / $186.93	Professional	26	$24.63	$35.19	$186.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.67 / $35.34 / $63.06	Professional	TC	$22.67	$35.34	$63.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $101.30 / $117.70	Professional		$101.30	$101.30	$117.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.99 / $49.48 / $54.24	Professional	26	$41.99	$49.48	$54.24
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $50.16 / $50.16 / $50.16	Professional	TC	$50.16	$50.16	$50.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $86.26 / $95.84	Professional		$65.17	$86.26	$95.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.47 / $44.32 / $49.24	Professional	26	$33.47	$44.32	$49.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.69 / $41.94 / $46.60	Professional	TC	$31.69	$41.94	$46.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $103.62 / $149.41	Professional		$78.78	$103.62	$149.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.54 / $49.04 / $68.50	Professional	26	$32.54	$49.04	$68.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.83 / $50.72 / $76.64	Professional	TC	$37.83	$50.72	$76.64
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $116.50 / $135.36	Professional		$116.50	$116.50	$135.36
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $48.29 / $59.72 / $69.38	Professional	26	$48.29	$59.72	$69.38
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $57.68 / $57.68 / $57.68	Professional	TC	$57.68	$57.68	$57.68
United Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $87.46 / $123.00	Professional		$59.97	$87.46	$123.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.20 / $35.81 / $60.41	Professional	26	$29.20	$35.81	$60.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.83 / $44.26 / $61.72	Professional	TC	$29.83	$44.26	$61.72