Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $109.65 / $120.23	Facility	26	$91.20	$109.65	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $602.56	Professional		$251.19	$426.58	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $112.20 / $177.83	Professional	26	$66.07	$112.20	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $302.00 / $436.52	Professional	TC	$186.21	$302.00	$436.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $83.18 / $117.49	Professional	26	$64.57	$83.18	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $436.52	Professional		$302.00	$346.74	$436.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $87.10 / $112.20	Professional	26	$75.86	$87.10	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $257.04 / $331.13	Professional	TC	$223.87	$257.04	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $501.19 / $776.25	Professional		$245.47	$501.19	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $102.33 / $165.96	Professional	26	$67.61	$102.33	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $407.38 / $630.96	Professional	TC	$194.98	$407.38	$630.96
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	26	$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $741.31	Professional		$275.42	$436.52	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $83.18 / $138.04	Professional	26	$66.07	$83.18	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $331.13 / $562.34	Professional	TC	$208.93	$331.13	$562.34