Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.15 / $112.15 / $122.61	Facility	26	$112.15	$112.15	$122.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $576.90 / $576.91	Professional		$171.00	$576.90	$576.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $112.15 / $179.44	Professional	26	$51.30	$112.15	$179.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $464.75 / $464.76	Professional	TC	$119.70	$464.75	$464.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $134.56 / $134.56 / $134.56	Professional	26	$134.56	$134.56	$134.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.74 / $433.29 / $555.50	Professional		$377.74	$433.29	$555.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.42 / $91.10 / $116.79	Professional	26	$79.42	$91.10	$116.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $298.32 / $342.19 / $438.71	Professional	TC	$298.32	$342.19	$438.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.61 / $607.55 / $680.94	Professional		$432.61	$607.55	$680.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.73 / $103.66 / $143.41	Professional	26	$75.73	$103.66	$143.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $348.31 / $490.81 / $537.77	Professional	TC	$348.31	$490.81	$537.77
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $133.19 / $133.19 / $154.74	Professional	26	$133.19	$133.19	$154.74
United Facility/Professional Professional Modifier Low / Median / High Price $370.53 / $460.50 / $743.36	Professional		$370.53	$460.50	$743.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.45 / $86.24 / $141.44	Professional	26	$68.45	$86.24	$141.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $291.25 / $376.49 / $607.58	Professional	TC	$291.25	$376.49	$607.58