Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.55 / $78.47 / $104.10	Facility	26	$69.55	$78.47	$104.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $194.27 / $399.11	Professional		$112.85	$194.27	$399.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.65 / $66.15 / $96.04	Professional	26	$49.65	$66.15	$96.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.41 / $144.61 / $323.37	Professional	TC	$52.41	$144.61	$323.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.85 / $89.06 / $103.51	Professional	26	$53.85	$89.06	$103.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $179.51 / $199.45	Professional		$135.63	$179.51	$199.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.94 / $79.33 / $88.14	Professional	26	$59.94	$79.33	$88.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.69 / $100.18 / $111.31	Professional	TC	$75.69	$100.18	$111.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $229.67 / $820.43	Professional		$116.80	$229.67	$820.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.53 / $79.44 / $127.27	Professional	26	$56.53	$79.44	$127.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.45 / $119.42 / $569.17	Professional	TC	$67.45	$119.42	$569.17
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $61.93 / $102.42 / $119.04	Professional	26	$61.93	$102.42	$119.04
United Facility/Professional Professional Modifier Low / Median / High Price $131.57 / $216.24 / $632.53	Professional		$131.57	$216.24	$632.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.06 / $80.19 / $128.51	Professional	26	$57.06	$80.19	$128.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $62.70 / $107.45 / $485.48	Professional	TC	$62.70	$107.45	$485.48