Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.00 / $64.20 / $79.80	Facility	26	$54.00	$64.20	$79.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $98.53 / $175.80	Professional		$63.39	$98.53	$175.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.68 / $54.00 / $60.85	Professional	26	$33.68	$54.00	$60.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.71 / $54.64 / $114.95	Professional	TC	$29.71	$54.64	$114.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.31 / $75.31 / $75.31	Professional	26	$75.31	$75.31	$75.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $121.98 / $135.53	Professional		$92.16	$121.98	$135.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.20 / $67.77 / $75.30	Professional	26	$51.20	$67.77	$75.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.96 / $54.21 / $60.23	Professional	TC	$40.96	$54.21	$60.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $151.76 / $309.83	Professional		$108.30	$151.76	$309.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.70 / $75.28 / $105.00	Professional	26	$49.70	$75.28	$105.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.82 / $69.56 / $178.12	Professional	TC	$47.82	$69.56	$178.12
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $192.57 / $192.57 / $192.57	Professional		$192.57	$192.57	$192.57
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $86.62 / $86.62 / $86.62	Professional	26	$86.62	$86.62	$86.62
United Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $142.97 / $300.91	Professional		$84.15	$142.97	$300.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.53 / $56.56 / $97.93	Professional	26	$45.53	$56.56	$97.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.00 / $67.69 / $155.69	Professional	TC	$38.00	$67.69	$155.69