Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.88 / $130.41 / $146.47	Facility	26	$112.88	$130.41	$146.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $414.95 / $618.64	Professional		$256.14	$414.95	$618.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.34 / $111.69 / $130.41	Professional	26	$78.34	$111.69	$130.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.62 / $309.93 / $508.96	Professional	TC	$171.62	$309.93	$508.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.12 / $78.12 / $78.12	Professional	26	$78.12	$78.12	$78.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.47 / $397.68 / $441.87	Professional		$300.47	$397.68	$441.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.36 / $122.25 / $135.83	Professional	26	$92.36	$122.25	$135.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.11 / $275.44 / $306.04	Professional	TC	$208.11	$275.44	$306.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $493.85 / $720.66	Professional		$310.45	$493.85	$720.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.60 / $122.47 / $183.12	Professional	26	$82.60	$122.47	$183.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.31 / $360.59 / $587.41	Professional	TC	$222.31	$360.59	$587.41
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $160.37 / $160.37 / $160.37	Professional	26	$160.37	$160.37	$160.37
United Facility/Professional Professional Modifier Low / Median / High Price $294.92 / $456.85 / $639.29	Professional		$294.92	$456.85	$639.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.25 / $104.81 / $167.50	Professional	26	$82.25	$104.81	$167.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $207.74 / $354.37 / $472.04	Professional	TC	$207.74	$354.37	$472.04