Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.37 / $110.37 / $164.07	Facility	26	$110.37	$110.37	$164.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.08 / $335.26 / $449.47	Professional		$232.08	$335.26	$449.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.09 / $110.37 / $124.24	Professional	26	$68.09	$110.37	$124.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.98 / $224.89 / $325.23	Professional	TC	$163.98	$224.89	$325.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $505.30 / $505.30 / $505.30	Professional		$505.30	$505.30	$505.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.89 / $407.51 / $452.79	Professional		$307.89	$407.51	$452.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.27 / $134.03 / $148.91	Professional	26	$101.27	$134.03	$148.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $206.63 / $273.48 / $303.87	Professional	TC	$206.63	$273.48	$303.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.90 / $459.67 / $654.05	Professional		$356.90	$459.67	$654.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.36 / $153.91 / $212.31	Professional	26	$109.36	$153.91	$212.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.58 / $321.77 / $441.75	Professional	TC	$245.58	$321.77	$441.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $691.86 / $691.86 / $691.86	Professional		$691.86	$691.86	$691.86
United Facility/Professional Professional Modifier Low / Median / High Price $298.58 / $367.99 / $605.47	Professional		$298.58	$367.99	$605.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.31 / $119.24 / $190.98	Professional	26	$92.31	$119.24	$190.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.79 / $237.11 / $426.80	Professional	TC	$203.79	$237.11	$426.80