Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.04 / $84.50 / $93.42	Facility	26	$60.04	$84.50	$93.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.21 / $301.37 / $434.90	Professional		$222.21	$301.37	$434.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.66 / $71.81 / $84.50	Professional	26	$50.66	$71.81	$84.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.65 / $222.12 / $364.76	Professional	TC	$165.65	$222.12	$364.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.34 / $90.07 / $100.59	Professional	26	$50.34	$90.07	$100.59
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $205.73 / $205.73 / $205.73	Professional	TC	$205.73	$205.73	$205.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $281.58 / $312.87	Professional		$212.75	$281.58	$312.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.83 / $79.19 / $87.99	Professional	26	$59.83	$79.19	$87.99
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $152.91 / $202.39 / $224.88	Professional	TC	$152.91	$202.39	$224.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $323.85 / $444.81	Professional		$198.49	$323.85	$444.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.03 / $80.27 / $118.14	Professional	26	$53.03	$80.27	$118.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $145.16 / $234.29 / $343.45	Professional	TC	$145.16	$234.29	$343.45
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $98.19 / $103.58 / $115.68	Professional	26	$98.19	$103.58	$115.68
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $236.59 / $236.59 / $236.59	Professional	TC	$236.59	$236.59	$236.59
United Facility/Professional Professional Modifier Low / Median / High Price $204.46 / $298.93 / $421.16	Professional		$204.46	$298.93	$421.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.90 / $67.36 / $108.57	Professional	26	$52.90	$67.36	$108.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $145.05 / $234.93 / $300.11	Professional	TC	$145.05	$234.93	$300.11