Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.82 / $46.82 / $70.23	Facility	26	$46.82	$46.82	$70.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $66.95 / $92.81	Professional		$59.05	$66.95	$92.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.39 / $44.39 / $56.93	Professional	26	$33.39	$44.39	$56.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $23.58 / $39.88	Professional	TC	$19.23	$23.58	$39.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $89.28 / $105.03	Professional		$83.60	$89.28	$105.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.94 / $48.38 / $66.73	Professional	26	$43.94	$48.38	$66.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $79.19 / $83.84	Professional		$63.35	$79.19	$83.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $51.12 / $54.13	Professional	26	$40.90	$51.12	$54.13
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 $63.17 / $91.34 / $121.70	Professional		$63.17	$91.34	$121.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.57 / $61.01 / $77.06	Professional	26	$35.57	$61.01	$77.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.01 / $30.85 / $49.92	Professional	TC	$23.01	$30.85	$49.92
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $102.67 / $120.78	Professional		$96.14	$102.67	$120.78
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $50.53 / $55.64 / $76.75	Professional	26	$50.53	$55.64	$76.75
United Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $69.87 / $113.03	Professional		$57.37	$69.87	$113.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.83 / $49.05 / $71.73	Professional	26	$32.83	$49.05	$71.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.85 / $27.43 / $45.73	Professional	TC	$20.85	$27.43	$45.73