Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $41.69	Facility	26	$33.11	$33.11	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $100.00	Professional		$38.90	$58.88	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.84 / $47.86	Professional	26	$19.95	$28.84	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $30.20 / $51.29	Professional	TC	$14.13	$30.20	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $83.18	Professional		$50.12	$69.18	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $30.90 / $40.74	Professional	26	$26.30	$30.90	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $67.61	Professional		$50.12	$50.12	$67.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $28.84 / $38.02	Professional	26	$28.84	$28.84	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $21.88 / $28.84	Professional	TC	$21.88	$21.88	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $102.33	Professional		$44.67	$64.57	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $38.90 / $54.95	Professional	26	$23.44	$38.90	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.92 / $56.23	Professional	TC	$17.38	$26.92	$56.23
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	26	$46.77	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $83.18	Professional		$43.65	$53.70	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $29.51 / $43.65	Professional	26	$22.91	$29.51	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.12 / $43.65	Professional	TC	$16.22	$25.12	$43.65