Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.48 / $31.04 / $38.00	Facility	26	$25.48	$31.04	$38.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.76 / $258.89 / $290.13	Professional		$160.76	$258.89	$290.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.04 / $23.33 / $31.04	Professional	26	$16.04	$23.33	$31.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.72 / $235.56 / $259.08	Professional	TC	$144.72	$235.56	$259.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $36.74 / $38.22 / $42.69	Professional	26	$36.74	$38.22	$42.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.96 / $266.07 / $341.12	Professional		$231.96	$266.07	$341.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.28 / $28.99 / $37.17	Professional	26	$25.28	$28.99	$37.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $206.69 / $237.08 / $303.95	Professional	TC	$206.69	$237.08	$303.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.72 / $310.31 / $418.15	Professional		$212.72	$310.31	$418.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.06 / $33.03 / $45.57	Professional	26	$24.06	$33.03	$45.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $188.66 / $279.75 / $372.58	Professional	TC	$188.66	$279.75	$372.58
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $42.25 / $43.96 / $49.09	Professional	26	$42.25	$43.96	$49.09
United Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $255.00 / $402.14	Professional		$214.36	$255.00	$402.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $27.48 / $44.69	Professional	26	$22.41	$27.48	$44.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.67 / $225.51 / $356.21	Professional	TC	$190.67	$225.51	$356.21