Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.63 / $100.97 / $111.59	Facility	26	$69.63	$100.97	$111.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $418.79 / $522.50	Professional		$257.38	$418.79	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.82 / $111.59 / $145.65	Professional	26	$58.82	$111.59	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.00 / $307.20 / $418.75	Professional	TC	$192.00	$307.20	$418.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.23 / $100.38 / $110.80	Professional	26	$52.23	$100.38	$110.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.31 / $335.26 / $372.51	Professional		$253.31	$335.26	$372.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.26 / $91.67 / $101.85	Professional	26	$69.26	$91.67	$101.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $184.05 / $243.59 / $270.66	Professional	TC	$184.05	$243.59	$270.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.67 / $497.55 / $767.07	Professional		$258.67	$497.55	$767.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.72 / $92.85 / $138.53	Professional	26	$61.72	$92.85	$138.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.95 / $360.92 / $616.40	Professional	TC	$187.95	$360.92	$616.40
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $115.44 / $115.44 / $134.12	Professional	26	$115.44	$115.44	$134.12
United Facility/Professional Professional Modifier Low / Median / High Price $245.11 / $435.28 / $581.70	Professional		$245.11	$435.28	$581.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.28 / $77.89 / $125.84	Professional	26	$61.28	$77.89	$125.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.59 / $301.81 / $445.15	Professional	TC	$182.59	$301.81	$445.15