Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.17 / $140.76 / $155.84	Facility	26	$119.17	$140.76	$155.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.35 / $505.39 / $614.16	Professional		$302.35	$505.39	$614.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.71 / $147.78 / $209.95	Professional	26	$87.71	$147.78	$209.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $215.65 / $357.19 / $459.73	Professional	TC	$215.65	$357.19	$459.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.09 / $70.09 / $134.27	Professional	26	$70.09	$70.09	$134.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.29 / $405.39 / $450.43	Professional		$306.29	$405.39	$450.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.87 / $121.60 / $135.11	Professional	26	$91.87	$121.60	$135.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $214.42 / $283.79 / $315.32	Professional	TC	$214.42	$283.79	$315.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.63 / $588.65 / $955.00	Professional		$284.63	$588.65	$955.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.70 / $133.12 / $184.68	Professional	26	$81.70	$133.12	$184.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $202.93 / $408.31 / $768.18	Professional	TC	$202.93	$408.31	$768.18
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $80.62 / $80.62 / $80.62	Professional	26	$80.62	$80.62	$80.62
United Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $530.50 / $855.28	Professional		$298.05	$530.50	$855.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.14 / $111.64 / $172.67	Professional	26	$84.14	$111.64	$172.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $205.93 / $362.71 / $539.70	Professional	TC	$205.93	$362.71	$539.70