Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.76 / $109.86 / $120.99	Facility	26	$75.76	$109.86	$120.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $475.00 / $630.00	Professional		$359.63	$475.00	$630.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.83 / $120.99 / $327.58	Professional	26	$62.83	$120.99	$327.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $288.39 / $344.03 / $470.23	Professional	TC	$288.39	$344.03	$470.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.73 / $114.94 / $120.57	Professional	26	$31.73	$114.94	$120.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.91 / $508.11 / $564.57	Professional		$383.91	$508.11	$564.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.76 / $98.95 / $109.94	Professional	26	$74.76	$98.95	$109.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $309.14 / $409.17 / $454.63	Professional	TC	$309.14	$409.17	$454.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.21 / $578.30 / $841.09	Professional		$351.21	$578.30	$841.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.50 / $103.97 / $152.51	Professional	26	$66.50	$103.97	$152.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $284.57 / $469.29 / $650.78	Professional	TC	$284.57	$469.29	$650.78
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $36.49 / $145.96	Professional	26	$36.49	$36.49	$145.96
United Facility/Professional Professional Modifier Low / Median / High Price $370.54 / $552.04 / $760.90	Professional		$370.54	$552.04	$760.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.56 / $85.13 / $137.76	Professional	26	$67.56	$85.13	$137.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $301.47 / $479.26 / $616.41	Professional	TC	$301.47	$479.26	$616.41