Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.84 / $57.81 / $66.93	Facility	26	$55.84	$57.81	$66.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $94.61 / $142.41	Professional		$79.34	$94.61	$142.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.89 / $47.45 / $67.93	Professional	26	$41.89	$47.45	$67.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.88 / $44.19 / $60.22	Professional	TC	$34.88	$44.19	$60.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.17 / $102.17 / $115.79	Professional		$102.17	$102.17	$115.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $115.51 / $115.51	Professional		$87.27	$115.51	$115.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.66 / $65.73 / $65.73	Professional	26	$49.66	$65.73	$65.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.61 / $49.78 / $49.78	Professional	TC	$37.61	$49.78	$49.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $101.79 / $162.60	Professional		$75.19	$101.79	$162.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.11 / $64.48 / $85.81	Professional	26	$44.11	$64.48	$85.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.91 / $44.38 / $76.78	Professional	TC	$20.91	$44.38	$76.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $117.50 / $133.16	Professional		$117.50	$117.50	$133.16
United Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $87.70 / $158.85	Professional		$65.78	$87.70	$158.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.64 / $57.37 / $103.71	Professional	26	$37.64	$57.37	$103.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.11 / $41.14 / $75.62	Professional	TC	$21.11	$41.14	$75.62