Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.73 / $133.74 / $143.55	Facility	26	$107.73	$133.74	$143.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.05 / $537.02 / $669.47	Professional		$296.05	$537.02	$669.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.93 / $140.00 / $145.65	Professional	26	$83.93	$140.00	$145.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.15 / $393.48 / $540.62	Professional	TC	$212.15	$393.48	$540.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.03 / $149.84 / $149.84	Professional	26	$75.03	$149.84	$149.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.85 / $399.51 / $443.90	Professional		$301.85	$399.51	$443.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.11 / $117.94 / $131.04	Professional	26	$89.11	$117.94	$131.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $212.74 / $281.57 / $312.86	Professional	TC	$212.74	$281.57	$312.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.24 / $588.11 / $832.54	Professional		$308.24	$588.11	$832.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.41 / $123.83 / $178.85	Professional	26	$79.41	$123.83	$178.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.26 / $418.05 / $734.91	Professional	TC	$217.26	$418.05	$734.91
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $172.32 / $172.32 / $172.32	Professional	26	$172.32	$172.32	$172.32
United Facility/Professional Professional Modifier Low / Median / High Price $293.33 / $524.55 / $705.84	Professional		$293.33	$524.55	$705.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.93 / $120.26 / $167.10	Professional	26	$78.93	$120.26	$167.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $197.18 / $356.12 / $534.97	Professional	TC	$197.18	$356.12	$534.97