Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $169.82 / $186.21	Facility	26	$141.25	$169.82	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $1,096.48	Professional		$371.54	$537.03	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $141.25 / $275.42	Professional	26	$87.10	$141.25	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $389.05 / $676.08	Professional	TC	$257.04	$389.05	$676.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $128.82 / $194.98	Professional	26	$81.28	$128.82	$194.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $537.03 / $537.03	Professional	TC	$537.03	$537.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $794.33	Professional		$537.03	$616.60	$794.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $131.83 / $169.82	Professional	26	$114.82	$131.83	$169.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $416.87 / $478.63 / $616.60	Professional	TC	$416.87	$478.63	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $933.25 / $1,548.82	Professional		$478.63	$933.25	$1,548.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $154.88 / $239.88	Professional	26	$102.33	$154.88	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $794.33 / $1,348.96	Professional	TC	$363.08	$794.33	$1,348.96
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $218.78 / $229.09	Professional	26	$218.78	$218.78	$229.09
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	TC	$616.60	$616.60	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,479.11	Professional		$489.78	$812.83	$1,479.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.89 / $213.80	Professional	26	$100.00	$125.89	$213.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $630.96 / $1,202.26	Professional	TC	$389.05	$630.96	$1,202.26