Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.63 / $138.75 / $148.91	Facility	26	$111.63	$138.75	$148.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $566.41 / $771.67	Professional		$475.00	$566.41	$771.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $140.00 / $149.02	Professional	26	$110.00	$140.00	$149.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $430.37 / $622.77	Professional	TC	$335.00	$430.37	$622.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $134.33 / $139.77 / $156.07	Professional	26	$134.33	$139.77	$156.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.43 / $536.60 / $596.22	Professional		$405.43	$536.60	$596.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.43 / $122.33 / $135.91	Professional	26	$92.43	$122.33	$135.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $313.00 / $414.27 / $460.30	Professional	TC	$313.00	$414.27	$460.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.01 / $745.55 / $1,377.39	Professional		$414.01	$745.55	$1,377.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.38 / $123.79 / $183.65	Professional	26	$82.38	$123.79	$183.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $319.63 / $583.64 / $1,227.98	Professional	TC	$319.63	$583.64	$1,227.98
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $154.47 / $162.50 / $200.10	Professional	26	$154.47	$162.50	$200.10
United Facility/Professional Professional Modifier Low / Median / High Price $364.23 / $657.94 / $1,152.33	Professional		$364.23	$657.94	$1,152.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.78 / $104.91 / $168.60	Professional	26	$84.78	$104.91	$168.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $273.38 / $492.04 / $935.46	Professional	TC	$273.38	$492.04	$935.46