Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.31 / $50.27 / $58.67	Facility	26	$39.31	$50.27	$58.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $168.46 / $200.77	Professional		$104.68	$168.46	$200.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.53 / $47.44 / $96.90	Professional	26	$30.53	$47.44	$96.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.62 / $127.68 / $142.51	Professional	TC	$79.62	$127.68	$142.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.68 / $56.68 / $56.68	Professional	26	$56.68	$56.68	$56.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.21 / $196.16 / $217.96	Professional		$148.21	$196.16	$217.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.02 / $51.64 / $57.38	Professional	26	$39.02	$51.64	$57.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.19 / $144.52 / $160.58	Professional	TC	$109.19	$144.52	$160.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.93 / $189.55 / $270.54	Professional		$114.93	$189.55	$270.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.40 / $51.72 / $70.16	Professional	26	$30.40	$51.72	$70.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.00 / $142.61 / $200.38	Professional	TC	$86.00	$142.61	$200.38
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $65.18 / $65.18 / $67.81	Professional	26	$65.18	$65.18	$67.81
United Facility/Professional Professional Modifier Low / Median / High Price $132.10 / $163.93 / $259.32	Professional		$132.10	$163.93	$259.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.42 / $42.61 / $69.89	Professional	26	$34.42	$42.61	$69.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.07 / $123.22 / $193.68	Professional	TC	$100.07	$123.22	$193.68