Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.67 / $116.55 / $121.30	Facility	26	$89.67	$116.55	$121.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.70 / $333.68 / $543.33	Professional		$243.70	$333.68	$543.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.17 / $95.04 / $117.74	Professional	26	$62.17	$95.04	$117.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $164.41 / $240.00 / $456.29	Professional	TC	$164.41	$240.00	$456.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.63 / $120.60 / $140.11	Professional	26	$56.63	$120.60	$140.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.64 / $310.55 / $345.06	Professional		$234.64	$310.55	$345.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.04 / $109.91 / $122.12	Professional	26	$83.04	$109.91	$122.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.60 / $200.65 / $222.94	Professional	TC	$151.60	$200.65	$222.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.85 / $382.51 / $529.49	Professional		$225.85	$382.51	$529.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.31 / $108.18 / $163.82	Professional	26	$66.31	$108.18	$163.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.80 / $277.13 / $410.76	Professional	TC	$154.80	$277.13	$410.76
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $65.12 / $138.69 / $161.13	Professional	26	$65.12	$138.69	$161.13
United Facility/Professional Professional Modifier Low / Median / High Price $220.62 / $366.30 / $463.57	Professional		$220.62	$366.30	$463.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.95 / $102.39 / $150.07	Professional	26	$71.95	$102.39	$150.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $148.76 / $252.69 / $346.41	Professional	TC	$148.76	$252.69	$346.41