Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.05 / $174.22 / $184.83	Facility	26	$145.05	$174.22	$184.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.84 / $322.80 / $366.45	Professional		$214.84	$322.80	$366.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.50 / $174.22 / $176.08	Professional	26	$93.50	$174.22	$176.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $148.58 / $227.00	Professional	TC	$119.70	$148.58	$227.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $183.54 / $183.54 / $183.54	Professional	26	$183.54	$183.54	$183.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.68 / $608.40 / $676.00	Professional		$459.68	$608.40	$676.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.37 / $163.29 / $181.43	Professional	26	$123.37	$163.29	$181.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $336.31 / $445.11 / $494.57	Professional	TC	$336.31	$445.11	$494.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.87 / $633.77 / $918.65	Professional		$403.87	$633.77	$918.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $104.08 / $163.62 / $244.73	Professional	26	$104.08	$163.62	$244.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $299.01 / $446.76 / $668.66	Professional	TC	$299.01	$446.76	$668.66
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $211.07 / $211.07 / $211.07	Professional	26	$211.07	$211.07	$211.07
United Facility/Professional Professional Modifier Low / Median / High Price $410.20 / $523.97 / $861.95	Professional		$410.20	$523.97	$861.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $109.39 / $172.80 / $220.86	Professional	26	$109.39	$172.80	$220.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.77 / $391.82 / $618.13	Professional	TC	$288.77	$391.82	$618.13