Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $83.18	Facility	26	$70.79	$70.79	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $295.12	Professional		$154.88	$199.53	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $50.12 / $120.23	Professional	26	$36.31	$50.12	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $151.36 / $208.93	Professional	TC	$117.49	$151.36	$208.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $85.11 / $95.50	Professional	26	$38.90	$85.11	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $323.59	Professional		$218.78	$251.19	$323.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $63.10 / $81.28	Professional	26	$54.95	$63.10	$81.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $186.21 / $239.88	Professional	TC	$162.18	$186.21	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $457.09	Professional		$199.53	$288.40	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $75.86 / $120.23	Professional	26	$51.29	$75.86	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $218.78 / $338.84	Professional	TC	$147.91	$218.78	$338.84
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	26	$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $416.87	Professional		$204.17	$251.19	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $104.71	Professional	26	$50.12	$61.66	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $186.21 / $309.03	Professional	TC	$154.88	$186.21	$309.03