Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.78 / $137.12 / $145.76	Facility	26	$97.78	$137.12	$145.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.48 / $455.53 / $624.48	Professional		$260.48	$455.53	$624.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.39 / $117.05 / $149.13	Professional	26	$82.39	$117.05	$149.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $211.93 / $327.87 / $508.96	Professional	TC	$211.93	$327.87	$508.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $82.13 / $143.80 / $245.70	Professional	26	$82.13	$143.80	$245.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.23 / $448.98 / $498.87	Professional		$339.23	$448.98	$498.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.77 / $128.08 / $142.31	Professional	26	$96.77	$128.08	$142.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $242.46 / $320.89 / $356.56	Professional	TC	$242.46	$320.89	$356.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.88 / $513.86 / $761.89	Professional		$316.88	$513.86	$761.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.54 / $128.36 / $191.33	Professional	26	$86.54	$128.36	$191.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.34 / $374.49 / $603.42	Professional	TC	$230.34	$374.49	$603.42
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $112.96 / $165.37 / $282.56	Professional	26	$112.96	$165.37	$282.56
United Facility/Professional Professional Modifier Low / Median / High Price $318.20 / $477.32 / $671.19	Professional		$318.20	$477.32	$671.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.34 / $115.20 / $172.80	Professional	26	$86.34	$115.20	$172.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.46 / $372.24 / $500.70	Professional	TC	$230.46	$372.24	$500.70