Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.40 / $113.39 / $121.68	Facility	26	$91.40	$113.39	$121.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.58 / $465.53 / $550.00	Professional		$279.58	$465.53	$550.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.06 / $121.68 / $145.65	Professional	26	$71.06	$121.68	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $205.98 / $343.85 / $420.72	Professional	TC	$205.98	$343.85	$420.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.07 / $114.90 / $114.90	Professional	26	$112.07	$114.90	$114.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.55 / $396.46 / $440.51	Professional		$299.55	$396.46	$440.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.52 / $99.95 / $111.06	Professional	26	$75.52	$99.95	$111.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $224.03 / $296.51 / $329.45	Professional	TC	$224.03	$296.51	$329.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.97 / $497.87 / $758.79	Professional		$274.97	$497.87	$758.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.33 / $101.25 / $152.63	Professional	26	$67.33	$101.25	$152.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.65 / $356.88 / $622.04	Professional	TC	$207.65	$356.88	$622.04
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $128.88 / $132.13 / $132.13	Professional	26	$128.88	$132.13	$132.13
United Facility/Professional Professional Modifier Low / Median / High Price $291.33 / $468.33 / $645.04	Professional		$291.33	$468.33	$645.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.88 / $85.77 / $137.69	Professional	26	$66.88	$85.77	$137.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.85 / $343.22 / $449.86	Professional	TC	$220.85	$343.22	$449.86