Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $243.25 / $243.25 / $360.16	Facility	26	$243.25	$243.25	$360.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.06 / $534.35 / $854.96	Professional		$359.06	$534.35	$854.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $150.16 / $243.25 / $389.20	Professional	26	$150.16	$243.25	$389.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.45 / $291.10 / $411.74	Professional	TC	$166.45	$291.10	$411.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.39 / $831.39 / $831.39	Professional		$831.39	$831.39	$831.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $289.85 / $341.97 / $373.22	Professional	26	$289.85	$341.97	$373.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $363.15 / $363.15 / $363.15	Professional	TC	$363.15	$363.15	$363.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.18 / $644.79 / $716.44	Professional		$487.18	$644.79	$716.44
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 $256.35 / $339.29 / $376.99	Professional	TC	$256.35	$339.29	$376.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.47 / $718.41 / $1,039.76	Professional		$519.47	$718.41	$1,039.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $240.39 / $338.05 / $467.96	Professional	26	$240.39	$338.05	$467.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $277.08 / $364.78 / $571.21	Professional	TC	$277.08	$364.78	$571.21
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $956.10 / $956.10 / $956.10	Professional		$956.10	$956.10	$956.10
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 $417.62 / $417.62 / $417.62	Professional	TC	$417.62	$417.62	$417.62
United Facility/Professional Professional Modifier Low / Median / High Price $446.22 / $527.61 / $866.96	Professional		$446.22	$527.61	$866.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $202.21 / $263.83 / $440.58	Professional	26	$202.21	$263.83	$440.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $230.45 / $271.88 / $427.37	Professional	TC	$230.45	$271.88	$427.37