Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.59 / $126.12 / $132.50	Facility	26	$105.59	$126.12	$132.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.62 / $323.45 / $388.20	Professional		$264.62	$323.45	$388.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $108.57 / $126.73	Professional	26	$73.00	$108.57	$126.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.54 / $235.18 / $262.08	Professional	TC	$173.54	$235.18	$262.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.43 / $129.80 / $129.80	Professional	26	$75.43	$129.80	$129.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.35 / $339.29 / $376.99	Professional		$256.35	$339.29	$376.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.32 / $118.22 / $131.35	Professional	26	$89.32	$118.22	$131.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $167.04 / $221.08 / $245.64	Professional	TC	$167.04	$221.08	$245.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.45 / $368.30 / $483.75	Professional		$233.45	$368.30	$483.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.56 / $118.32 / $176.79	Professional	26	$78.56	$118.32	$176.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.04 / $231.62 / $302.74	Professional	TC	$149.04	$231.62	$302.74
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $97.75 / $149.27 / $149.27	Professional	26	$97.75	$149.27	$149.27
United Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $307.29 / $470.24	Professional		$232.75	$307.29	$470.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.14 / $99.85 / $159.80	Professional	26	$79.14	$99.85	$159.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.61 / $213.54 / $313.33	Professional	TC	$144.61	$213.54	$313.33