Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.17 / $46.17 / $56.53	Facility	26	$46.17	$46.17	$56.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.37 / $318.62 / $398.26	Professional		$220.37	$318.62	$398.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.15 / $31.56 / $46.17	Professional	26	$24.15	$31.56	$46.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $196.22 / $287.36 / $352.09	Professional	TC	$196.22	$287.36	$352.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.60 / $56.81 / $57.18	Professional	26	$54.60	$56.81	$57.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.04 / $364.81 / $467.70	Professional		$318.04	$364.81	$467.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.60 / $43.13 / $55.29	Professional	26	$37.60	$43.13	$55.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $280.44 / $321.68 / $412.41	Professional	TC	$280.44	$321.68	$412.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.87 / $425.45 / $573.29	Professional		$288.87	$425.45	$573.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.89 / $49.74 / $67.77	Professional	26	$35.89	$49.74	$67.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $252.98 / $375.18 / $505.53	Professional	TC	$252.98	$375.18	$505.53
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $62.79 / $65.33 / $65.76	Professional	26	$62.79	$65.33	$65.76
United Facility/Professional Professional Modifier Low / Median / High Price $294.51 / $348.68 / $548.29	Professional		$294.51	$348.68	$548.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.34 / $40.54 / $66.45	Professional	26	$32.34	$40.54	$66.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $262.17 / $310.39 / $479.28	Professional	TC	$262.17	$310.39	$479.28