Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.65 / $88.65 / $98.64	Facility	26	$75.65	$88.65	$98.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.39 / $351.36 / $467.50	Professional		$229.39	$351.36	$467.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $87.74 / $98.00	Professional	26	$52.46	$87.74	$98.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $171.94 / $262.70 / $380.98	Professional	TC	$171.94	$262.70	$380.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $92.71 / $94.57 / $95.10	Professional	26	$92.71	$94.57	$95.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $334.58 / $371.75	Professional		$252.79	$334.58	$371.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.45 / $82.66 / $91.84	Professional	26	$62.45	$82.66	$91.84
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 $233.54 / $410.29 / $602.65	Professional		$233.54	$410.29	$602.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.66 / $84.21 / $125.90	Professional	26	$55.66	$84.21	$125.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.88 / $313.70 / $471.05	Professional	TC	$177.88	$313.70	$471.05
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $72.91 / $108.76 / $109.37	Professional	26	$72.91	$108.76	$109.37
United Facility/Professional Professional Modifier Low / Median / High Price $249.40 / $386.19 / $531.73	Professional		$249.40	$386.19	$531.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.53 / $74.93 / $113.97	Professional	26	$55.53	$74.93	$113.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.38 / $307.70 / $434.54	Professional	TC	$188.38	$307.70	$434.54