Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.34 / $92.59 / $99.39	Facility	26	$74.34	$92.59	$99.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $473.65 / $598.41	Professional		$348.00	$473.65	$598.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $99.39 / $140.00	Professional	26	$62.50	$99.39	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.70 / $348.53 / $524.07	Professional	TC	$257.70	$348.53	$524.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.91 / $103.75 / $103.75	Professional	26	$51.91	$103.75	$103.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.52 / $347.45 / $386.06	Professional		$262.52	$347.45	$386.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.69 / $81.65 / $90.72	Professional	26	$61.69	$81.65	$90.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $200.83 / $265.81 / $295.33	Professional	TC	$200.83	$265.81	$295.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.07 / $489.94 / $726.61	Professional		$268.07	$489.94	$726.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.87 / $82.31 / $121.86	Professional	26	$54.87	$82.31	$121.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $205.08 / $372.59 / $633.87	Professional	TC	$205.08	$372.59	$633.87
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $114.52 / $119.31 / $119.31	Professional	26	$114.52	$119.31	$119.31
United Facility/Professional Professional Modifier Low / Median / High Price $247.20 / $468.38 / $595.54	Professional		$247.20	$468.38	$595.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.28 / $87.99 / $110.43	Professional	26	$56.28	$87.99	$110.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.10 / $321.74 / $640.69	Professional	TC	$179.10	$321.74	$640.69