Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $229.09 / $245.47	Facility	26	$162.18	$229.09	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $389.05	Professional		$194.98	$275.42	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $162.18 / $512.86	Professional	26	$102.33	$162.18	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $134.90 / $213.80	Professional	TC	$89.13	$134.90	$213.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $245.47 / $251.19	Professional	26	$154.88	$245.47	$251.19
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	TC	$208.93	$208.93	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $416.87	Professional		$281.84	$323.59	$416.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $177.83 / $229.09	Professional	26	$154.88	$177.83	$229.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $147.91 / $190.55	Professional	TC	$128.82	$147.91	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $602.56	Professional		$323.59	$416.87	$602.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $229.09 / $331.13	Professional	26	$162.18	$229.09	$331.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $194.98 / $275.42	Professional	TC	$147.91	$194.98	$275.42
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $281.84 / $288.40	Professional	26	$281.84	$281.84	$288.40
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	TC	$239.88	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $512.86	Professional		$257.04	$316.23	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $169.82 / $281.84	Professional	26	$134.90	$169.82	$281.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $138.04 / $234.42	Professional	TC	$117.49	$138.04	$234.42