Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.08 / $70.08 / $105.12	Facility	26	$70.08	$70.08	$105.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $276.79 / $296.38	Professional		$162.77	$276.79	$296.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.32 / $70.08 / $91.08	Professional	26	$42.32	$70.08	$91.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.44 / $206.71 / $217.51	Professional	TC	$120.44	$206.71	$217.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.85 / $95.57 / $95.57	Professional	26	$47.85	$95.57	$95.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.91 / $288.41 / $320.45	Professional		$217.91	$288.41	$320.45
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.18 / $73.03 / $81.14	Professional	26	$55.18	$73.03	$81.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.72 / $215.38 / $239.31	Professional	TC	$162.72	$215.38	$239.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.95 / $303.51 / $446.37	Professional		$197.95	$303.51	$446.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.84 / $75.70 / $112.26	Professional	26	$49.84	$75.70	$112.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $149.09 / $227.89 / $330.33	Professional	TC	$149.09	$227.89	$330.33
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $109.91 / $109.91 / $109.91	Professional	26	$109.91	$109.91	$109.91
United Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $269.27 / $413.14	Professional		$205.35	$269.27	$413.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.32 / $62.87 / $103.17	Professional	26	$51.32	$62.87	$103.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.74 / $196.91 / $305.74	Professional	TC	$155.74	$196.91	$305.74