Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $93.33 / $123.03	Facility	26	$74.13	$93.33	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $602.56	Professional		$251.19	$398.11	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $109.65 / $165.96	Professional	26	$63.10	$109.65	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $288.40 / $436.52	Professional	TC	$177.83	$288.40	$436.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $53.70 / $66.07	Professional	26	$52.48	$53.70	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $426.58	Professional		$295.12	$338.84	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $89.13 / $112.20	Professional	26	$77.62	$89.13	$112.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $245.47 / $316.23	Professional	TC	$213.80	$245.47	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $524.81 / $794.33	Professional		$275.42	$524.81	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $93.33 / $151.36	Professional	26	$58.88	$93.33	$151.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $389.05 / $707.95	Professional	TC	$204.17	$389.05	$707.95
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	26	$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $741.31	Professional		$245.47	$426.58	$741.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $79.43 / $138.04	Professional	26	$60.26	$79.43	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $302.00 / $645.65	Professional	TC	$177.83	$302.00	$645.65