Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $243.25 / $308.70 / $370.44	Facility	26	$243.25	$308.70	$370.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.23 / $516.54 / $986.73	Professional		$323.23	$516.54	$986.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $150.16 / $243.25 / $292.75	Professional	26	$150.16	$243.25	$292.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.06 / $306.66 / $693.98	Professional	TC	$173.06	$306.66	$693.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $849.50 / $849.50 / $849.50	Professional		$849.50	$849.50	$849.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $289.85 / $358.09 / $373.22	Professional	26	$289.85	$358.09	$373.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $378.98 / $378.98 / $378.98	Professional	TC	$378.98	$378.98	$378.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.01 / $635.30 / $705.90	Professional		$480.01	$635.30	$705.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $230.83 / $305.51 / $339.45	Professional	26	$230.83	$305.51	$339.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $249.19 / $329.81 / $366.45	Professional	TC	$249.19	$329.81	$366.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.48 / $810.87 / $1,983.44	Professional		$568.48	$810.87	$1,983.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $235.75 / $353.63 / $467.96	Professional	26	$235.75	$353.63	$467.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $293.39 / $416.21 / $1,232.05	Professional	TC	$293.39	$416.21	$1,232.05
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $840.83 / $840.83 / $976.93	Professional		$840.83	$840.83	$976.93
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $333.33 / $411.80 / $429.20	Professional	26	$333.33	$411.80	$429.20
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $435.83 / $435.83 / $435.83	Professional	TC	$435.83	$435.83	$435.83
United Facility/Professional Professional Modifier Low / Median / High Price $433.29 / $796.37 / $1,661.84	Professional		$433.29	$796.37	$1,661.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $202.21 / $263.39 / $418.36	Professional	26	$202.21	$263.39	$418.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $231.08 / $398.00 / $1,076.90	Professional	TC	$231.08	$398.00	$1,076.90