Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $134.90 / $147.91	Facility	26	$112.20	$134.90	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $676.08	Professional		$295.12	$426.58	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $128.82 / $263.03	Professional	26	$81.28	$128.82	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $338.84 / $489.78	Professional	TC	$223.87	$338.84	$489.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $144.54	Professional	26	$64.57	$64.57	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $549.54	Professional		$380.19	$426.58	$549.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $104.71 / $134.90	Professional	26	$91.20	$104.71	$134.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $323.59 / $416.87	Professional	TC	$281.84	$323.59	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $812.83	Professional		$309.03	$588.84	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $123.03 / $190.55	Professional	26	$81.28	$123.03	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $446.68 / $660.69	Professional	TC	$257.04	$446.68	$660.69
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Professional	26	$165.96	$165.96	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $794.33	Professional		$338.84	$537.03	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $100.00 / $165.96	Professional	26	$79.43	$100.00	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $416.87 / $645.65	Professional	TC	$263.03	$416.87	$645.65