Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.45 / $84.53 / $101.43	Facility	26	$65.45	$84.53	$101.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $137.58 / $468.80	Professional		$84.27	$137.58	$468.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.26 / $65.45 / $113.55	Professional	26	$40.26	$65.45	$113.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.01 / $82.45 / $150.81	Professional	TC	$44.01	$82.45	$150.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.93 / $190.93 / $221.83	Professional		$190.93	$190.93	$221.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.06 / $98.41 / $99.76	Professional	26	$78.06	$98.41	$99.76
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $96.60 / $96.60 / $96.60	Professional	TC	$96.60	$96.60	$96.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $166.09 / $184.54	Professional		$125.49	$166.09	$184.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.00 / $82.05 / $91.17	Professional	26	$62.00	$82.05	$91.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.49 / $84.03 / $93.37	Professional	TC	$63.49	$84.03	$93.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $216.02 / $332.28	Professional		$150.97	$216.02	$332.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.01 / $97.06 / $135.00	Professional	26	$63.01	$97.06	$135.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.63 / $109.62 / $188.20	Professional	TC	$74.63	$109.62	$188.20
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $219.57 / $220.05 / $255.10	Professional		$219.57	$220.05	$255.10
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $89.77 / $110.20 / $114.72	Professional	26	$89.77	$110.20	$114.72
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $111.09 / $111.09 / $111.09	Professional	TC	$111.09	$111.09	$111.09
United Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $195.96 / $250.31	Professional		$113.34	$195.96	$250.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.64 / $71.02 / $113.04	Professional	26	$54.64	$71.02	$113.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.70 / $99.05 / $159.24	Professional	TC	$58.70	$99.05	$159.24