Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $83.18 / $89.13	Facility	26	$60.26	$83.18	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $371.54	Professional		$169.82	$245.47	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $134.90	Professional	26	$51.29	$64.57	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $186.21 / $288.40	Professional	TC	$131.83	$186.21	$288.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $69.18 / $97.72	Professional	26	$41.69	$69.18	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $316.23	Professional		$213.80	$245.47	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $69.18 / $87.10	Professional	26	$60.26	$69.18	$87.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $173.78 / $223.87	Professional	TC	$151.36	$173.78	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $446.68	Professional		$186.21	$331.13	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $79.43 / $125.89	Professional	26	$52.48	$79.43	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $245.47 / $346.74	Professional	TC	$144.54	$245.47	$346.74
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $104.71 / $117.49	Professional	26	$48.98	$104.71	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $436.52	Professional		$194.98	$295.12	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $107.15	Professional	26	$51.29	$64.57	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $218.78 / $338.84	Professional	TC	$144.54	$218.78	$338.84