Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.42 / $50.43 / $62.87	Facility	26	$43.42	$50.43	$62.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $172.48 / $203.85	Professional		$109.45	$172.48	$203.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.76 / $45.16 / $113.05	Professional	26	$31.76	$45.16	$113.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $118.55 / $147.60	Professional	TC	$79.54	$118.55	$147.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.47 / $78.70 / $89.65	Professional	26	$36.47	$78.70	$89.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.05 / $215.80 / $239.78	Professional		$163.05	$215.80	$239.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.64 / $49.82 / $55.36	Professional	26	$37.64	$49.82	$55.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.41 / $165.98 / $184.42	Professional	TC	$125.41	$165.98	$184.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.96 / $181.12 / $278.20	Professional		$118.96	$181.12	$278.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.42 / $49.71 / $89.25	Professional	26	$36.42	$49.71	$89.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.00 / $137.63 / $203.53	Professional	TC	$74.00	$137.63	$203.53
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $51.44 / $90.52 / $103.10	Professional	26	$51.44	$90.52	$103.10
United Facility/Professional Professional Modifier Low / Median / High Price $122.26 / $157.15 / $281.19	Professional		$122.26	$157.15	$281.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.54 / $55.20 / $95.49	Professional	26	$34.54	$55.20	$95.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.11 / $115.40 / $186.44	Professional	TC	$90.11	$115.40	$186.44