Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $51.93 / $78.59	Professional		$45.86	$51.93	$78.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.32 / $28.78 / $47.00	Professional	26	$25.32	$28.78	$47.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.25 / $20.77 / $26.60	Professional	TC	$13.25	$20.77	$26.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $54.32 / $69.83	Professional		$54.32	$54.32	$69.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.87 / $35.79 / $48.93	Professional	26	$30.87	$35.79	$48.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $50.96 / $67.45	Professional		$27.81	$50.96	$67.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.52 / $37.08 / $46.35	Professional	26	$31.52	$37.08	$46.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $22.87 / $28.59	Professional	TC	$19.44	$22.87	$28.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $51.80 / $73.22	Professional		$20.05	$51.80	$73.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.38 / $32.60 / $50.84	Professional	26	$14.38	$32.60	$50.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.70 / $11.89 / $28.59	Professional	TC	$4.70	$11.89	$28.59
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $62.47 / $80.30	Professional		$62.47	$62.47	$80.30
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $35.50 / $41.16 / $56.27	Professional	26	$35.50	$41.16	$56.27
United Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $34.99 / $63.04	Professional		$25.29	$34.99	$63.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.01 / $22.31 / $42.22	Professional	26	$17.01	$22.31	$42.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.65 / $11.83 / $23.10	Professional	TC	$6.65	$11.83	$23.10