Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.66 / $92.11 / $102.80	Facility	26	$78.66	$92.11	$102.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.76 / $363.71 / $459.07	Professional		$200.76	$363.71	$459.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.56 / $92.11 / $94.71	Professional	26	$54.56	$92.11	$94.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.65 / $271.60 / $388.80	Professional	TC	$140.65	$271.60	$388.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $96.35 / $96.35 / $107.33	Professional	26	$96.35	$96.35	$107.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.57 / $338.26 / $375.84	Professional		$255.57	$338.26	$375.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.23 / $86.34 / $95.93	Professional	26	$65.23	$86.34	$95.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.34 / $251.92 / $279.91	Professional	TC	$190.34	$251.92	$279.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.72 / $412.05 / $629.36	Professional		$241.72	$412.05	$629.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.95 / $87.65 / $130.40	Professional	26	$57.95	$87.65	$130.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $180.59 / $299.29 / $491.35	Professional	TC	$180.59	$299.29	$491.35
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $110.80 / $110.80 / $110.80	Professional	26	$110.80	$110.80	$110.80
United Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $367.95 / $495.52	Professional		$216.49	$367.95	$495.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.52 / $73.73 / $119.03	Professional	26	$57.52	$73.73	$119.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.96 / $260.39 / $433.55	Professional	TC	$147.96	$260.39	$433.55