Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $53.70 / $69.18	Facility	26	$52.48	$53.70	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $151.36	Professional		$57.54	$83.18	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $43.65 / $79.43	Professional	26	$33.11	$43.65	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $38.02 / $70.79	Professional	TC	$19.95	$38.02	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $104.71	Professional		$70.79	$81.28	$104.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $50.12 / $58.88	Professional	26	$42.66	$50.12	$58.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $97.72	Professional		$74.13	$74.13	$97.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $46.77 / $61.66	Professional	26	$46.77	$46.77	$61.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $26.30 / $34.67	Professional	TC	$26.30	$26.30	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $151.36	Professional		$67.61	$102.33	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $64.57 / $93.33	Professional	26	$38.90	$64.57	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $36.31 / $70.79	Professional	TC	$25.12	$36.31	$70.79
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Professional	26	$67.61	$67.61	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $120.23	Professional		$64.57	$81.28	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $50.12 / $75.86	Professional	26	$37.15	$50.12	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $53.70	Professional	TC	$23.99	$32.36	$53.70