Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $91.20 / $93.33	Facility	26	$75.86	$91.20	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $457.09	Professional		$194.98	$275.42	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $117.49	Professional	26	$51.29	$61.66	$117.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $213.80 / $338.84	Professional	TC	$147.91	$213.80	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $89.13 / $97.72	Professional	26	$43.65	$89.13	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $371.54	Professional		$251.19	$288.40	$371.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $72.44 / $91.20	Professional	26	$63.10	$72.44	$91.20
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 $234.42 / $426.58 / $660.69	Professional		$234.42	$426.58	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $83.18 / $138.04	Professional	26	$56.23	$83.18	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $331.13 / $489.78	Professional	TC	$177.83	$331.13	$489.78
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $104.71 / $112.20	Professional	26	$72.44	$104.71	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $575.44	Professional		$239.88	$371.54	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $67.61 / $112.20	Professional	26	$53.70	$67.61	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $281.84 / $457.09	Professional	TC	$181.97	$281.84	$457.09