Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.39 / $70.79 / $78.80	Facility	26	$49.39	$70.79	$78.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $156.75 / $233.94	Professional		$145.97	$156.75	$233.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.14 / $69.17 / $74.63	Professional	26	$42.14	$69.17	$74.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.76 / $103.82 / $165.99	Professional	TC	$80.76	$103.82	$165.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.31 / $74.09 / $74.09	Professional	26	$64.31	$74.09	$74.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $195.54 / $217.27	Professional		$147.74	$195.54	$217.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.01 / $70.16 / $77.95	Professional	26	$53.01	$70.16	$77.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.73 / $125.38 / $139.31	Professional	TC	$94.73	$125.38	$139.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $210.69 / $290.54	Professional		$129.68	$210.69	$290.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.63 / $67.73 / $97.82	Professional	26	$44.63	$67.73	$97.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $85.05 / $137.88 / $202.53	Professional	TC	$85.05	$137.88	$202.53
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $81.89 / $81.89 / $85.20	Professional	26	$81.89	$81.89	$85.20
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $191.46 / $273.36	Professional		$134.19	$191.46	$273.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.55 / $59.33 / $89.36	Professional	26	$44.55	$59.33	$89.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.77 / $137.13 / $183.93	Professional	TC	$84.77	$137.13	$183.93