Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.98 / $64.57 / $74.13	Facility	26	$48.98	$64.57	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $81.28	Professional		$42.66	$66.07	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $45.71 / $69.18	Professional	26	$30.20	$45.71	$69.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $19.05 / $24.55	Professional	TC	$12.02	$19.05	$24.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $43.65 / $79.43	Professional	26	$33.88	$43.65	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $95.50	Professional		$64.57	$74.13	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $53.70 / $69.18	Professional	26	$46.77	$53.70	$69.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $20.42 / $26.30	Professional	TC	$17.78	$20.42	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $131.83	Professional		$74.13	$97.72	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $100.00	Professional	26	$47.86	$69.18	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.30 / $40.74	Professional	TC	$19.95	$26.30	$40.74
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $91.20	Professional	26	$64.57	$64.57	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $120.23	Professional		$57.54	$70.79	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $50.12 / $85.11	Professional	26	$40.74	$50.12	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $19.05 / $33.88	Professional	TC	$16.22	$19.05	$33.88