Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.54 / $56.96 / $68.34	Facility	26	$42.54	$56.96	$68.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $89.27 / $122.90	Professional		$52.52	$89.27	$122.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.87 / $42.54 / $55.81	Professional	26	$26.87	$42.54	$55.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $58.95 / $72.69	Professional	TC	$16.03	$58.95	$72.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.06 / $64.06 / $64.06	Professional	26	$64.06	$64.06	$64.06
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $142.07 / $142.07 / $142.07	Professional	TC	$142.07	$142.07	$142.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $140.13 / $155.69	Professional		$105.88	$140.13	$155.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.40 / $53.49 / $59.43	Professional	26	$40.40	$53.49	$59.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.45 / $86.64 / $96.27	Professional	TC	$65.45	$86.64	$96.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $165.75 / $217.54	Professional		$64.06	$165.75	$217.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.53 / $64.08 / $90.02	Professional	26	$41.53	$64.08	$90.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.28 / $85.90 / $142.53	Professional	TC	$11.28	$85.90	$142.53
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $73.67 / $73.67 / $73.67	Professional	26	$73.67	$73.67	$73.67
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $163.38 / $163.38 / $163.38	Professional	TC	$163.38	$163.38	$163.38
United Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $123.46 / $238.32	Professional		$80.86	$123.46	$238.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.70 / $50.98 / $73.41	Professional	26	$36.70	$50.98	$73.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.95 / $81.14 / $148.12	Professional	TC	$16.95	$81.14	$148.12