Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $46.77 / $60.26	Facility	26	$45.71	$46.77	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $128.82	Professional		$52.48	$72.44	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.02 / $66.07	Professional	26	$30.20	$38.02	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $32.36 / $58.88	Professional	TC	$16.98	$32.36	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $147.91	Professional		$63.10	$93.33	$147.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $43.65 / $50.12	Professional	26	$31.62	$43.65	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $83.18	Professional		$63.10	$63.10	$83.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $53.70	Professional	26	$40.74	$40.74	$53.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $22.39 / $29.51	Professional	TC	$22.39	$22.39	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $128.82	Professional		$61.66	$91.20	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $58.88 / $81.28	Professional	26	$34.67	$58.88	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $58.88	Professional	TC	$21.38	$30.90	$58.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $169.82	Professional		$100.00	$107.15	$169.82
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $50.12 / $57.54	Professional	26	$50.12	$50.12	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $107.15	Professional		$57.54	$70.79	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $45.71 / $66.07	Professional	26	$33.11	$45.71	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $27.54 / $45.71	Professional	TC	$20.42	$27.54	$45.71