Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.51 / $105.04 / $116.55	Facility	26	$65.51	$105.04	$116.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.45 / $405.94 / $483.44	Professional		$206.45	$405.94	$483.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.69 / $97.13 / $105.04	Professional	26	$57.69	$97.13	$105.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.76 / $300.89 / $375.83	Professional	TC	$148.76	$300.89	$375.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $319.08 / $319.08 / $319.08	Professional		$319.08	$319.08	$319.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $96.35 / $98.28 / $109.75	Professional	26	$96.35	$98.28	$109.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.81 / $378.28 / $420.31	Professional		$285.81	$378.28	$420.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.38 / $98.44 / $109.38	Professional	26	$74.38	$98.44	$109.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $211.43 / $279.83 / $310.93	Professional	TC	$211.43	$279.83	$310.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.17 / $430.17 / $585.00	Professional		$271.17	$430.17	$585.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.68 / $98.71 / $130.40	Professional	26	$62.68	$98.71	$130.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $200.60 / $308.92 / $418.46	Professional	TC	$200.60	$308.92	$418.46
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $366.95 / $366.95 / $366.95	Professional		$366.95	$366.95	$366.95
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $110.80 / $113.02 / $126.21	Professional	26	$110.80	$113.02	$126.21
United Facility/Professional Professional Modifier Low / Median / High Price $231.42 / $387.73 / $508.05	Professional		$231.42	$387.73	$508.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.25 / $74.23 / $126.04	Professional	26	$59.25	$74.23	$126.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.25 / $284.91 / $373.88	Professional	TC	$168.25	$284.91	$373.88