Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.09 / $56.34 / $68.59	Facility	26	$46.09	$56.34	$68.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.97 / $436.79 / $539.26	Professional		$295.97	$436.79	$539.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.14 / $41.51 / $68.98	Professional	26	$29.14	$41.51	$68.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.83 / $399.06 / $482.93	Professional	TC	$266.83	$399.06	$482.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.44 / $66.44 / $69.28	Professional	26	$66.44	$66.44	$69.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.55 / $492.72 / $631.69	Professional		$429.55	$492.72	$631.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.88 / $52.63 / $67.47	Professional	26	$45.88	$52.63	$67.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $383.67 / $440.09 / $564.22	Professional	TC	$383.67	$440.09	$564.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.58 / $574.63 / $774.32	Professional		$387.58	$574.63	$774.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.56 / $60.34 / $82.71	Professional	26	$43.56	$60.34	$82.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $345.04 / $521.01 / $691.62	Professional	TC	$345.04	$521.01	$691.62
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $76.41 / $79.51 / $79.67	Professional	26	$76.41	$79.51	$79.67
United Facility/Professional Professional Modifier Low / Median / High Price $397.82 / $469.07 / $747.00	Professional		$397.82	$469.07	$747.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.88 / $48.99 / $80.44	Professional	26	$39.88	$48.99	$80.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $357.94 / $420.08 / $654.53	Professional	TC	$357.94	$420.08	$654.53