Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $144.54 / $190.55	Facility	26	$134.90	$144.54	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $446.68	Professional		$275.42	$398.11	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $120.23 / $144.54	Professional	26	$97.72	$120.23	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $257.04 / $309.03	Professional	TC	$177.83	$257.04	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $436.52	Professional		$331.13	$331.13	$436.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $97.72 / $128.82	Professional	26	$97.72	$97.72	$128.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $234.42 / $309.03	Professional	TC	$234.42	$234.42	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $645.65	Professional		$331.13	$501.19	$645.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $186.21 / $208.93	Professional	26	$141.25	$186.21	$208.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $354.81 / $446.68	Professional	TC	$257.04	$354.81	$446.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $645.65	Professional		$275.42	$338.84	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $112.20 / $208.93	Professional	26	$93.33	$112.20	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $234.42 / $446.68	Professional	TC	$169.82	$234.42	$446.68