Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.54 / $100.35 / $111.33	Facility	26	$58.54	$100.35	$111.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.34 / $372.00 / $531.45	Professional		$205.34	$372.00	$531.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.03 / $83.33 / $153.59	Professional	26	$55.03	$83.33	$153.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.30 / $272.52 / $448.11	Professional	TC	$150.30	$272.52	$448.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.41 / $87.82 / $107.76	Professional	26	$84.41	$87.82	$107.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.73 / $347.73 / $386.37	Professional		$262.73	$347.73	$386.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.06 / $94.05 / $104.50	Professional	26	$71.06	$94.05	$104.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $191.67 / $253.68 / $281.87	Professional	TC	$191.67	$253.68	$281.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.14 / $385.38 / $495.00	Professional		$248.14	$385.38	$495.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.95 / $89.72 / $121.44	Professional	26	$59.95	$89.72	$121.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.03 / $270.19 / $368.11	Professional	TC	$173.03	$270.19	$368.11
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $99.02 / $112.79 / $123.92	Professional	26	$99.02	$112.79	$123.92
United Facility/Professional Professional Modifier Low / Median / High Price $208.84 / $340.69 / $435.31	Professional		$208.84	$340.69	$435.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.02 / $71.16 / $115.23	Professional	26	$53.02	$71.16	$115.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.33 / $236.96 / $323.25	Professional	TC	$152.33	$236.96	$323.25