Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.05 / $88.18 / $98.64	Facility	26	$76.05	$88.18	$98.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.81 / $370.07 / $563.50	Professional		$252.81	$370.07	$563.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $80.79 / $93.37	Professional	26	$52.78	$80.79	$93.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.59 / $281.89 / $489.53	Professional	TC	$176.59	$281.89	$489.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.81 / $90.41 / $92.22	Professional	26	$41.81	$90.41	$92.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $344.23 / $382.48	Professional		$260.08	$344.23	$382.48
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 $197.64 / $261.58 / $290.64	Professional	TC	$197.64	$261.58	$290.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.76 / $390.06 / $538.15	Professional		$246.76	$390.06	$538.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.66 / $84.21 / $123.40	Professional	26	$55.66	$84.21	$123.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.51 / $290.88 / $430.95	Professional	TC	$187.51	$290.88	$430.95
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $101.76 / $103.97 / $106.05	Professional	26	$101.76	$103.97	$106.05
United Facility/Professional Professional Modifier Low / Median / High Price $217.90 / $365.26 / $504.19	Professional		$217.90	$365.26	$504.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.53 / $70.54 / $113.37	Professional	26	$55.53	$70.54	$113.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.97 / $267.05 / $384.05	Professional	TC	$151.97	$267.05	$384.05