Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $38.90 / $42.66	Facility	26	$25.12	$38.90	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $77.62	Professional		$28.18	$42.66	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.12 / $93.33	Professional	26	$19.05	$25.12	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $18.62 / $52.48	Professional	TC	$10.96	$18.62	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $22.91 / $30.90	Professional	26	$17.78	$22.91	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $75.86	Professional		$51.29	$58.88	$75.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $28.18 / $36.31	Professional	26	$24.55	$28.18	$36.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $30.90 / $38.90	Professional	TC	$26.92	$30.90	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $87.10	Professional		$34.67	$53.70	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $154.88	Professional		$61.66	$102.33	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $41.69 / $60.26	Professional	26	$27.54	$41.69	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $58.88 / $95.50	Professional	TC	$22.39	$58.88	$95.50
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $35.48 / $35.48	Professional	26	$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $123.03	Professional		$43.65	$75.86	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $27.54 / $46.77	Professional	26	$21.38	$27.54	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $36.31 / $77.62	Professional	TC	$20.89	$36.31	$77.62