Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.71 / $40.71 / $61.07	Facility	26	$40.71	$40.71	$61.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $59.95 / $84.98	Professional		$50.29	$59.95	$84.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.75 / $36.13 / $48.99	Professional	26	$25.75	$36.13	$48.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.03 / $20.19 / $37.50	Professional	TC	$18.03	$20.19	$37.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.03 / $50.03 / $50.03	Professional	26	$50.03	$50.03	$50.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $72.51 / $76.78	Professional		$58.01	$72.51	$76.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.57 / $44.46 / $47.08	Professional	26	$35.57	$44.46	$47.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $28.05 / $29.70	Professional	TC	$22.44	$28.05	$29.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $77.15 / $113.25	Professional		$54.05	$77.15	$113.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.16 / $47.06 / $60.33	Professional	26	$29.16	$47.06	$60.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.62 / $27.82 / $49.92	Professional	TC	$22.62	$27.82	$49.92
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $49.17 / $49.17	Professional		$49.17	$49.17	$49.17
United Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $62.07 / $94.97	Professional		$47.82	$62.07	$94.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.42 / $39.47 / $57.47	Professional	26	$28.42	$39.47	$57.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $25.98 / $48.35	Professional	TC	$18.86	$25.98	$48.35