Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.65 / $88.65 / $109.88	Facility	26	$75.65	$88.65	$109.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.37 / $308.80 / $465.15	Professional		$181.37	$308.80	$465.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $80.20 / $98.00	Professional	26	$52.46	$80.20	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.56 / $220.14 / $377.04	Professional	TC	$120.56	$220.14	$377.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.26 / $92.71 / $105.61	Professional	26	$42.26	$92.71	$105.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $164.21 / $164.21 / $164.21	Professional	TC	$164.21	$164.21	$164.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.02 / $287.24 / $319.14	Professional		$217.02	$287.24	$319.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $83.09 / $92.32	Professional	26	$62.78	$83.09	$92.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.24 / $204.15 / $226.83	Professional	TC	$154.24	$204.15	$226.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.48 / $340.29 / $520.36	Professional		$203.48	$340.29	$520.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.95 / $84.21 / $125.90	Professional	26	$55.95	$84.21	$125.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $146.34 / $240.70 / $395.00	Professional	TC	$146.34	$240.70	$395.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $73.34 / $106.62 / $121.45	Professional	26	$73.34	$106.62	$121.45
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $188.84 / $188.84 / $188.84	Professional	TC	$188.84	$188.84	$188.84
United Facility/Professional Professional Modifier Low / Median / High Price $175.86 / $303.93 / $420.72	Professional		$175.86	$303.93	$420.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.20 / $68.68 / $112.39	Professional	26	$56.20	$68.68	$112.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $118.36 / $207.96 / $346.41	Professional	TC	$118.36	$207.96	$346.41