Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $134.90 / $147.91	Facility	26	$112.20	$134.90	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $660.69	Professional		$251.19	$426.58	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $120.23 / $213.80	Professional	26	$69.18	$120.23	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $302.00 / $457.09	Professional	TC	$186.21	$302.00	$457.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $151.36	Professional	26	$64.57	$79.43	$151.36
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	TC	$288.40	$288.40	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $446.68	Professional		$302.00	$346.74	$446.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $104.71 / $134.90	Professional	26	$91.20	$104.71	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $239.88 / $309.03	Professional	TC	$208.93	$239.88	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $588.84 / $933.25	Professional		$251.19	$588.84	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $123.03 / $199.53	Professional	26	$81.28	$123.03	$199.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $426.58 / $758.58	Professional	TC	$186.21	$426.58	$758.58
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $169.82 / $173.78	Professional	26	$81.28	$169.82	$173.78
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $331.13 / $331.13	Professional	TC	$331.13	$331.13	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $891.25	Professional		$281.84	$467.74	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $100.00 / $169.82	Professional	26	$79.43	$100.00	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $316.23 / $691.83	Professional	TC	$194.98	$316.23	$691.83