Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.65 / $36.85 / $45.84	Facility	26	$35.65	$36.85	$45.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $65.63 / $109.25	Professional		$52.47	$65.63	$109.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.65 / $29.70 / $43.79	Professional	26	$24.65	$29.70	$43.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.81 / $34.64 / $62.65	Professional	TC	$27.81	$34.64	$62.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $95.26 / $95.26	Professional		$95.26	$95.26	$95.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.79 / $37.43 / $44.54	Professional	26	$33.79	$37.43	$44.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $77.77 / $91.49	Professional		$62.21	$77.77	$91.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.66 / $39.58 / $46.56	Professional	26	$31.66	$39.58	$46.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.55 / $38.19 / $44.93	Professional	TC	$30.55	$38.19	$44.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $78.95 / $132.29	Professional		$57.01	$78.95	$132.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.79 / $38.94 / $50.19	Professional	26	$26.79	$38.94	$50.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.77 / $38.72 / $69.00	Professional	TC	$28.77	$38.72	$69.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $109.55 / $109.55	Professional		$109.55	$109.55	$109.55
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $38.86 / $43.04 / $51.22	Professional	26	$38.86	$43.04	$51.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $66.52 / $128.90	Professional		$51.12	$66.52	$128.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.13 / $32.40 / $51.60	Professional	26	$25.13	$32.40	$51.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.45 / $32.59 / $56.53	Professional	TC	$25.45	$32.59	$56.53