Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.75 / $7.41 / $8.13	Facility	26	$5.75	$7.41	$8.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.38 / $33.11	Professional		$12.88	$17.38	$33.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.02 / $7.08	Professional	26	$2.00	$3.02	$7.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $13.49 / $25.12	Professional	TC	$10.96	$13.49	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $14.79	Professional		$11.75	$11.75	$14.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.29 / $2.29 / $5.62	Professional	26	$2.29	$2.29	$5.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $37.15	Professional		$27.54	$27.54	$37.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $6.03 / $8.13	Professional	26	$6.03	$6.03	$8.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $21.88 / $28.84	Professional	TC	$21.88	$21.88	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $27.54 / $38.02	Professional		$15.49	$27.54	$38.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.88 / $6.17 / $9.33	Professional	26	$2.88	$6.17	$9.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $21.38 / $30.20	Professional	TC	$12.88	$21.38	$30.20
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $6.46 / $6.46	Professional	26	$6.46	$6.46	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $34.67	Professional		$18.20	$23.44	$34.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.80 / $5.13 / $8.13	Professional	26	$3.80	$5.13	$8.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $18.20 / $26.92	Professional	TC	$14.45	$18.20	$26.92