Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.84 / $98.70 / $143.62	Facility	26	$81.84	$98.70	$143.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $243.78 / $474.42	Professional		$138.79	$243.78	$474.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $80.73 / $134.26	Professional	26	$56.82	$80.73	$134.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.95 / $186.96 / $387.01	Professional	TC	$60.95	$186.96	$387.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $101.16 / $125.07 / $148.57	Professional	26	$101.16	$125.07	$148.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.39 / $245.37 / $272.63	Professional		$185.39	$245.37	$272.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.07 / $137.74 / $153.04	Professional	26	$104.07	$137.74	$153.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.31 / $107.63 / $119.59	Professional	TC	$81.31	$107.63	$119.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.27 / $301.50 / $832.98	Professional		$154.27	$301.50	$832.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.20 / $101.46 / $175.69	Professional	26	$67.20	$101.46	$175.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.48 / $139.13 / $569.17	Professional	TC	$72.48	$139.13	$569.17
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $116.33 / $164.22 / $170.86	Professional	26	$116.33	$164.22	$170.86
United Facility/Professional Professional Modifier Low / Median / High Price $168.15 / $275.18 / $644.16	Professional		$168.15	$275.18	$644.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.09 / $101.34 / $176.04	Professional	26	$66.09	$101.34	$176.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.43 / $128.13 / $485.47	Professional	TC	$72.43	$128.13	$485.47