Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $104.71 / $112.20	Facility	26	$66.07	$104.71	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $467.74	Professional		$186.21	$275.42	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $138.04	Professional	26	$54.95	$72.44	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $218.78 / $354.81	Professional	TC	$134.90	$218.78	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $104.71 / $109.65	Professional	26	$104.71	$104.71	$109.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $416.87	Professional		$288.40	$331.13	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $85.11 / $109.65	Professional	26	$74.13	$85.11	$109.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $239.88 / $309.03	Professional	TC	$213.80	$239.88	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $436.52 / $602.56	Professional		$213.80	$436.52	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $97.72 / $147.91	Professional	26	$61.66	$97.72	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $302.00 / $478.63	Professional	TC	$181.97	$302.00	$478.63
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
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 $218.78 / $354.81 / $537.03	Professional		$218.78	$354.81	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $72.44 / $128.82	Professional	26	$56.23	$72.44	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $251.19 / $416.87	Professional	TC	$162.18	$251.19	$416.87