Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.75 / $69.20 / $93.28	Facility	26	$62.75	$69.20	$93.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.85 / $329.43 / $417.69	Professional		$232.85	$329.43	$417.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.77 / $50.69 / $78.30	Professional	26	$32.77	$50.69	$78.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $200.08 / $278.72 / $354.53	Professional	TC	$200.08	$278.72	$354.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $78.12 / $78.12 / $78.12	Professional	26	$78.12	$78.12	$78.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.10 / $408.47 / $523.67	Professional		$356.10	$408.47	$523.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.75 / $62.81 / $80.52	Professional	26	$54.75	$62.81	$80.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $301.35 / $345.66 / $443.16	Professional	TC	$301.35	$345.66	$443.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.11 / $411.82 / $603.02	Professional		$277.11	$411.82	$603.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.15 / $68.44 / $92.97	Professional	26	$49.15	$68.44	$92.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $216.23 / $368.49 / $510.30	Professional	TC	$216.23	$368.49	$510.30
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $89.84 / $89.84 / $89.84	Professional	26	$89.84	$89.84	$89.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.45 / $339.77 / $577.53	Professional		$245.45	$339.77	$577.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.91 / $53.16 / $91.78	Professional	26	$44.91	$53.16	$91.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.98 / $285.31 / $486.76	Professional	TC	$200.98	$285.31	$486.76