Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.31 / $17.93 / $20.61	Facility	26	$15.31	$17.93	$20.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $98.69 / $184.58	Professional		$92.58	$98.69	$184.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.77 / $17.93 / $51.30	Professional	26	$11.77	$17.93	$51.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.22 / $80.76 / $166.62	Professional	TC	$80.22	$80.76	$166.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.82 / $12.83 / $12.83	Professional	26	$10.82	$12.83	$12.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $143.35 / $159.28	Professional		$108.31	$143.35	$159.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.70 / $16.80 / $18.68	Professional	26	$12.70	$16.80	$18.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.61 / $126.54 / $140.60	Professional	TC	$95.61	$126.54	$140.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $156.91 / $218.22	Professional		$94.90	$156.91	$218.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $16.82 / $25.40	Professional	26	$11.13	$16.82	$25.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.57 / $139.69 / $197.53	Professional	TC	$83.57	$139.69	$197.53
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $14.75 / $14.75	Professional	26	$14.75	$14.75	$14.75
United Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $153.46 / $209.18	Professional		$101.10	$153.46	$209.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $14.40 / $23.27	Professional	26	$11.31	$14.40	$23.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.11 / $133.28 / $185.24	Professional	TC	$90.11	$133.28	$185.24