Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.01 / $131.12 / $146.26	Facility	26	$94.01	$131.12	$146.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $417.05 / $624.64	Professional		$300.00	$417.05	$624.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.91 / $126.09 / $156.69	Professional	26	$81.91	$126.09	$156.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.09 / $310.24 / $509.48	Professional	TC	$212.09	$310.24	$509.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.02 / $208.02 / $208.02	Professional		$208.02	$208.02	$208.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.68 / $138.26 / $157.47	Professional	26	$62.68	$138.26	$157.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.31 / $398.79 / $443.10	Professional		$301.31	$398.79	$443.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.85 / $122.89 / $136.54	Professional	26	$92.85	$122.89	$136.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $208.46 / $275.89 / $306.56	Professional	TC	$208.46	$275.89	$306.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $504.97 / $765.04	Professional		$311.80	$504.97	$765.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.84 / $123.33 / $184.54	Professional	26	$86.84	$123.33	$184.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $222.64 / $360.59 / $618.55	Professional	TC	$222.64	$360.59	$618.55
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $239.22 / $464.43 / $589.66	Professional		$239.22	$464.43	$589.66
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $108.74 / $162.18 / $181.10	Professional	26	$108.74	$162.18	$181.10
United Facility/Professional Professional Modifier Low / Median / High Price $295.58 / $473.54 / $635.66	Professional		$295.58	$473.54	$635.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.48 / $107.38 / $167.49	Professional	26	$83.48	$107.38	$167.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $207.60 / $353.83 / $471.40	Professional	TC	$207.60	$353.83	$471.40