Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.63 / $8.63 / $12.95	Facility	26	$8.63	$8.63	$12.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $6.93 / $23.09	Professional	26	$5.45	$6.93	$23.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.27 / $22.58 / $30.25	Professional	TC	$16.27	$22.58	$30.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.22 / $35.22 / $40.13	Professional	26	$35.22	$35.22	$40.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.78 / $35.97 / $38.09	Professional	26	$28.78	$35.97	$38.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.02 / $37.29 / $50.63	Professional	26	$24.02	$37.29	$50.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.95 / $106.80 / $157.65	Professional	TC	$68.95	$106.80	$157.65
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $40.51 / $46.15	Professional	26	$39.22	$40.51	$46.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.30 / $35.56 / $46.41	Professional	26	$24.30	$35.56	$46.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.48 / $97.36 / $133.05	Professional	TC	$63.48	$97.36	$133.05