Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.78 / $105.66 / $131.18	Facility	26	$88.78	$105.66	$131.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.57 / $532.95 / $760.86	Professional		$327.57	$532.95	$760.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.52 / $88.78 / $101.47	Professional	26	$54.52	$88.78	$101.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $273.06 / $444.17 / $660.71	Professional	TC	$273.06	$444.17	$660.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $751.38 / $751.38 / $751.38	Professional		$751.38	$751.38	$751.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $105.90 / $130.41 / $151.53	Professional	26	$105.90	$130.41	$151.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $524.46 / $524.46 / $524.46	Professional	TC	$524.46	$524.46	$524.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.65 / $641.45 / $712.72	Professional		$484.65	$641.45	$712.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.97 / $111.14 / $123.49	Professional	26	$83.97	$111.14	$123.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $400.68 / $530.30 / $589.23	Professional	TC	$400.68	$530.30	$589.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.09 / $696.60 / $1,043.28	Professional		$440.09	$696.60	$1,043.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.45 / $123.51 / $172.00	Professional	26	$80.45	$123.51	$172.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $333.91 / $572.00 / $872.47	Professional	TC	$333.91	$572.00	$872.47
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $743.72 / $743.72 / $864.09	Professional		$743.72	$743.72	$864.09
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $121.79 / $149.97 / $174.26	Professional	26	$121.79	$149.97	$174.26
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $603.13 / $603.13 / $603.13	Professional	TC	$603.13	$603.13	$603.13
United Facility/Professional Professional Modifier Low / Median / High Price $393.28 / $508.14 / $823.96	Professional		$393.28	$508.14	$823.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.09 / $92.43 / $153.31	Professional	26	$74.09	$92.43	$153.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $338.37 / $435.65 / $673.85	Professional	TC	$338.37	$435.65	$673.85