Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.90 / $26.90 / $40.35	Facility	26	$26.90	$26.90	$40.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $46.13 / $67.98	Professional		$38.25	$46.13	$67.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $23.78 / $31.27	Professional	26	$17.14	$23.78	$31.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $19.23 / $37.04	Professional	TC	$17.01	$19.23	$37.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $58.28 / $81.23	Professional		$49.54	$58.28	$81.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.01 / $27.84 / $28.51	Professional	26	$25.01	$27.84	$28.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $57.43 / $60.81	Professional		$45.95	$57.43	$60.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.49 / $29.37 / $31.10	Professional	26	$23.49	$29.37	$31.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.45 / $28.07 / $29.72	Professional	TC	$22.45	$28.07	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $59.06 / $90.90	Professional		$41.09	$59.06	$90.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.27 / $30.79 / $40.42	Professional	26	$19.27	$30.79	$40.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.37 / $26.81 / $49.43	Professional	TC	$21.37	$26.81	$49.43
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $79.42 / $123.95	Professional		$56.97	$79.42	$123.95
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $28.76 / $32.02 / $32.60	Professional	26	$28.76	$32.02	$32.60
United Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $49.11 / $76.80	Professional		$38.28	$49.11	$76.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.75 / $25.33 / $37.99	Professional	26	$17.75	$25.33	$37.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.62 / $25.61 / $47.43	Professional	TC	$16.62	$25.61	$47.43