Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $65.34 / $84.46	Professional		$57.76	$65.34	$84.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.51 / $25.60 / $51.00	Professional	26	$22.51	$25.60	$51.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.25 / $39.20 / $48.52	Professional	TC	$35.25	$39.20	$48.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $77.93 / $77.93	Professional		$77.93	$77.93	$77.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.94 / $42.94 / $42.94	Professional	26	$42.94	$42.94	$42.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $77.51 / $96.89	Professional		$58.13	$77.51	$96.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.43 / $33.90 / $42.38	Professional	26	$25.43	$33.90	$42.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.71 / $43.61 / $54.51	Professional	TC	$32.71	$43.61	$54.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $64.84 / $108.44	Professional		$29.50	$64.84	$108.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.39 / $29.19 / $45.99	Professional	26	$13.39	$29.19	$45.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.22 / $24.55 / $60.55	Professional	TC	$13.22	$24.55	$60.55
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $89.62 / $89.62	Professional		$89.62	$89.62	$89.62
United Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $53.79 / $69.65	Professional		$36.81	$53.79	$69.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.02 / $26.01 / $39.59	Professional	26	$16.02	$26.01	$39.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.76 / $27.78 / $52.55	Professional	TC	$20.76	$27.78	$52.55