Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.04 / $31.04 / $38.00	Facility	26	$31.04	$31.04	$38.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.46 / $200.68 / $345.73	Professional		$136.46	$200.68	$345.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.49 / $31.04 / $52.95	Professional	26	$20.49	$31.04	$52.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $115.97 / $169.63 / $282.23	Professional	TC	$115.97	$169.63	$282.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $181.00 / $181.00	Professional		$181.00	$181.00	$181.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.60 / $28.60 / $28.60	Professional	26	$28.60	$28.60	$28.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.42 / $220.26 / $220.26	Professional		$166.42	$220.26	$220.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.67 / $35.29 / $35.29	Professional	26	$26.67	$35.29	$35.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $139.75 / $184.96 / $184.96	Professional	TC	$139.75	$184.96	$184.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $235.58 / $289.83	Professional		$154.91	$235.58	$289.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.23 / $35.47 / $47.27	Professional	26	$23.23	$35.47	$47.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.77 / $200.52 / $247.44	Professional	TC	$129.77	$200.52	$247.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $208.15 / $309.17	Professional		$208.15	$208.15	$309.17
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $32.89 / $32.89 / $32.89	Professional	26	$32.89	$32.89	$32.89
United Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $204.05 / $283.88	Professional		$137.66	$204.05	$283.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.63 / $30.90 / $46.25	Professional	26	$22.63	$30.90	$46.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.08 / $178.52 / $237.84	Professional	TC	$123.08	$178.52	$237.84