Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.58 / $100.22 / $150.33	Facility	26	$82.58	$100.22	$150.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.58 / $534.17 / $655.22	Professional		$318.58	$534.17	$655.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.57 / $76.87 / $137.63	Professional	26	$51.57	$76.87	$137.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $267.02 / $414.12 / $473.03	Professional	TC	$267.02	$414.12	$473.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $634.49 / $643.73 / $753.75	Professional		$634.49	$643.73	$753.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $102.71 / $123.88 / $138.32	Professional	26	$102.71	$123.88	$138.32
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $630.60 / $630.60 / $630.60	Professional	TC	$630.60	$630.60	$630.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.00 / $524.21 / $672.06	Professional		$457.00	$524.21	$672.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.40 / $93.37 / $119.71	Professional	26	$81.40	$93.37	$119.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $375.60 / $430.83 / $552.35	Professional	TC	$375.60	$430.83	$552.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.96 / $594.94 / $823.82	Professional		$423.96	$594.94	$823.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $107.30 / $147.77	Professional	26	$77.76	$107.30	$147.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $361.46 / $489.37 / $677.08	Professional	TC	$361.46	$489.37	$677.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $729.66 / $729.66 / $729.66	Professional		$729.66	$729.66	$729.66
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $118.12 / $142.46 / $159.07	Professional	26	$118.12	$142.46	$159.07
United Facility/Professional Professional Modifier Low / Median / High Price $421.67 / $606.98 / $844.47	Professional		$421.67	$606.98	$844.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.33 / $88.49 / $158.56	Professional	26	$70.33	$88.49	$158.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $345.93 / $403.84 / $652.52	Professional	TC	$345.93	$403.84	$652.52