Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.23 / $61.66 / $67.61	Facility	26	$56.23	$61.66	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $107.15	Professional		$75.86	$89.13	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $44.67 / $57.54	Professional	26	$38.02	$44.67	$57.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $41.69 / $52.48	Professional	TC	$33.88	$41.69	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $154.88	Professional		$66.07	$83.18	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $114.82	Professional		$87.10	$87.10	$114.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $50.12 / $66.07	Professional	26	$50.12	$50.12	$66.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $38.02 / $50.12	Professional	TC	$38.02	$38.02	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $169.82	Professional		$75.86	$102.33	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $89.13	Professional	26	$43.65	$64.57	$89.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $45.71 / $79.43	Professional	TC	$22.39	$45.71	$79.43
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $131.83	Professional		$117.49	$117.49	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $144.54	Professional		$67.61	$87.10	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $48.98 / $81.28	Professional	26	$38.90	$48.98	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $39.81 / $66.07	Professional	TC	$25.12	$39.81	$66.07