Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.63 / $138.26 / $147.84	Facility	26	$111.63	$138.26	$147.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.74 / $562.89 / $630.00	Professional		$384.74	$562.89	$630.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.84 / $140.50 / $189.00	Professional	26	$86.84	$140.50	$189.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $297.88 / $424.29 / $485.57	Professional	TC	$297.88	$424.29	$485.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.72 / $61.72 / $77.79	Professional	26	$61.72	$61.72	$77.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.07 / $497.74 / $553.04	Professional		$376.07	$497.74	$553.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.76 / $121.45 / $134.94	Professional	26	$91.76	$121.45	$134.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $284.31 / $376.29 / $418.10	Professional	TC	$284.31	$376.29	$418.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.80 / $576.23 / $793.14	Professional		$356.80	$576.23	$793.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.09 / $123.79 / $182.35	Professional	26	$82.09	$123.79	$182.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.74 / $439.09 / $650.78	Professional	TC	$269.74	$439.09	$650.78
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $70.98 / $70.98 / $70.98	Professional	26	$70.98	$70.98	$70.98
United Facility/Professional Professional Modifier Low / Median / High Price $354.37 / $539.47 / $741.99	Professional		$354.37	$539.47	$741.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.18 / $104.20 / $167.40	Professional	26	$82.18	$104.20	$167.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.11 / $445.08 / $565.46	Professional	TC	$263.11	$445.08	$565.46