Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $95.50 / $97.72	Facility	26	$79.43	$95.50	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $426.58	Professional		$173.78	$263.03	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $102.33	Professional	26	$51.29	$61.66	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $190.55 / $338.84	Professional	TC	$123.03	$190.55	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $54.95 / $125.89	Professional	26	$44.67	$54.95	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $380.19	Professional		$257.04	$295.12	$380.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $74.13 / $95.50	Professional	26	$64.57	$74.13	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $218.78 / $281.84	Professional	TC	$190.55	$218.78	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $416.87 / $630.96	Professional		$199.53	$416.87	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $87.10 / $141.25	Professional	26	$57.54	$87.10	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $302.00 / $489.78	Professional	TC	$162.18	$302.00	$489.78
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $128.82 / $144.54	Professional	26	$128.82	$128.82	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $588.84	Professional		$204.17	$346.74	$588.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $70.79 / $117.49	Professional	26	$56.23	$70.79	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $229.09 / $446.68	Professional	TC	$147.91	$229.09	$446.68