Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.89 / $162.26 / $177.97	Facility	26	$111.89	$162.26	$177.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $654.69 / $867.88	Professional		$475.00	$654.69	$867.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $110.00 / $157.90 / $199.08	Professional	26	$110.00	$157.90	$199.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $476.63 / $615.44	Professional	TC	$335.00	$476.63	$615.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $577.04 / $577.04 / $577.04	Professional		$577.04	$577.04	$577.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $158.86 / $168.79 / $187.44	Professional	26	$158.86	$168.79	$187.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.15 / $581.23 / $645.80	Professional		$439.15	$581.23	$645.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.46 / $146.19 / $162.44	Professional	26	$110.46	$146.19	$162.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $328.69 / $435.03 / $483.37	Professional	TC	$328.69	$435.03	$483.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.97 / $680.00 / $1,506.13	Professional		$409.97	$680.00	$1,506.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.29 / $146.87 / $219.98	Professional	26	$98.29	$146.87	$219.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $311.68 / $522.82 / $1,368.55	Professional	TC	$311.68	$522.82	$1,368.55
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $663.60 / $663.60 / $663.60	Professional		$663.60	$663.60	$663.60
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $182.69 / $194.11 / $215.56	Professional	26	$182.69	$194.11	$215.56
United Facility/Professional Professional Modifier Low / Median / High Price $424.13 / $692.09 / $1,234.97	Professional		$424.13	$692.09	$1,234.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.74 / $121.87 / $201.89	Professional	26	$98.74	$121.87	$201.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $324.89 / $514.63 / $949.93	Professional	TC	$324.89	$514.63	$949.93