Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.93 / $95.00 / $114.62	Facility	26	$87.93	$95.00	$114.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.53 / $300.02 / $559.05	Professional		$187.53	$300.02	$559.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $92.27 / $98.00	Professional	26	$60.00	$92.27	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $127.42 / $227.00 / $473.68	Professional	TC	$127.42	$227.00	$473.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.99 / $98.28 / $126.40	Professional	26	$32.99	$98.28	$126.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.40 / $258.62 / $287.35	Professional		$195.40	$258.62	$287.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.33 / $86.47 / $96.08	Professional	26	$65.33	$86.47	$96.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $130.06 / $172.14 / $191.27	Professional	TC	$130.06	$172.14	$191.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.54 / $379.32 / $525.66	Professional		$199.54	$379.32	$525.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.99 / $94.66 / $129.19	Professional	26	$61.99	$94.66	$129.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $132.81 / $250.69 / $410.75	Professional	TC	$132.81	$250.69	$410.75
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $50.23 / $108.63 / $145.36	Professional	26	$50.23	$108.63	$145.36
United Facility/Professional Professional Modifier Low / Median / High Price $186.11 / $326.39 / $423.77	Professional		$186.11	$326.39	$423.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.77 / $79.98 / $123.44	Professional	26	$59.77	$79.98	$123.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.39 / $225.88 / $346.41	Professional	TC	$123.39	$225.88	$346.41