Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.73 / $85.10 / $104.24	Facility	26	$82.73	$85.10	$104.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.18 / $412.79 / $412.79	Professional		$229.18	$412.79	$412.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.08 / $85.10 / $136.16	Professional	26	$44.08	$85.10	$136.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.10 / $327.69 / $327.69	Professional	TC	$185.10	$327.69	$327.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $455.54 / $455.54 / $455.54	Professional		$455.54	$455.54	$455.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $117.35 / $117.35 / $117.35	Professional	26	$117.35	$117.35	$117.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.19 / $377.61 / $484.11	Professional		$329.19	$377.61	$484.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.30 / $79.48 / $101.91	Professional	26	$69.30	$79.48	$101.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $259.89 / $298.12 / $382.20	Professional	TC	$259.89	$298.12	$382.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.37 / $430.10 / $593.42	Professional		$306.37	$430.10	$593.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.92 / $90.99 / $125.08	Professional	26	$65.92	$90.99	$125.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $250.21 / $340.85 / $468.51	Professional	TC	$250.21	$340.85	$468.51
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $523.87 / $523.87 / $523.87	Professional		$523.87	$523.87	$523.87
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $134.94 / $134.94 / $134.94	Professional	26	$134.94	$134.94	$134.94
United Facility/Professional Professional Modifier Low / Median / High Price $302.36 / $404.89 / $610.35	Professional		$302.36	$404.89	$610.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.66 / $78.37 / $136.61	Professional	26	$59.66	$78.37	$136.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.03 / $286.83 / $451.34	Professional	TC	$239.03	$286.83	$451.34