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 / $99.92	Facility	26	$74.34	$92.59	$99.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $444.30 / $555.13	Professional		$250.00	$444.30	$555.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $99.92 / $144.50	Professional	26	$62.50	$99.92	$144.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $188.37 / $344.37 / $440.00	Professional	TC	$188.37	$344.37	$440.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.18 / $91.57 / $104.31	Professional	26	$52.18	$91.57	$104.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.51 / $351.41 / $390.45	Professional		$265.51	$351.41	$390.45
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 $203.82 / $269.76 / $299.73	Professional	TC	$203.82	$269.76	$299.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.12 / $468.53 / $726.61	Professional		$271.12	$468.53	$726.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.87 / $82.75 / $122.51	Professional	26	$54.87	$82.75	$122.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.13 / $379.50 / $633.87	Professional	TC	$208.13	$379.50	$633.87
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $103.25 / $107.41 / $119.96	Professional	26	$103.25	$107.41	$119.96
United Facility/Professional Professional Modifier Low / Median / High Price $232.59 / $408.45 / $612.37	Professional		$232.59	$408.45	$612.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.54 / $69.28 / $112.57	Professional	26	$55.54	$69.28	$112.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.66 / $287.82 / $548.86	Professional	TC	$169.66	$287.82	$548.86