Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.23 / $31.59 / $32.83	Facility	26	$27.23	$31.59	$32.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $154.57 / $230.59	Professional		$102.96	$154.57	$230.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $26.24 / $35.54	Professional	26	$18.76	$26.24	$35.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.80 / $122.99 / $195.01	Professional	TC	$81.80	$122.99	$195.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.21 / $200.12 / $200.12	Professional		$140.21	$200.12	$200.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.04 / $47.04 / $47.04	Professional	26	$47.04	$47.04	$47.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $172.03 / $172.03	Professional		$129.97	$172.03	$172.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.79 / $35.45 / $35.45	Professional	26	$26.79	$35.45	$35.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.19 / $136.58 / $136.58	Professional	TC	$103.19	$136.58	$136.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.16 / $183.29 / $228.34	Professional		$122.16	$183.29	$228.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.58 / $32.76 / $45.42	Professional	26	$22.58	$32.76	$45.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $96.36 / $148.37 / $194.96	Professional	TC	$96.36	$148.37	$194.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $230.14 / $230.14 / $230.14	Professional		$230.14	$230.14	$230.14
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $54.10 / $54.10 / $54.10	Professional	26	$54.10	$54.10	$54.10
United Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $159.59 / $223.66	Professional		$111.79	$159.59	$223.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $26.28 / $44.17	Professional	26	$18.16	$26.28	$44.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.90 / $133.66 / $188.95	Professional	TC	$92.90	$133.66	$188.95