Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.85 / $67.56 / $74.66	Facility	26	$49.85	$67.56	$74.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.65 / $277.67 / $349.33	Professional		$153.65	$277.67	$349.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.41 / $60.88 / $74.66	Professional	26	$31.41	$60.88	$74.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $122.24 / $216.79 / $269.19	Professional	TC	$122.24	$216.79	$269.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.79 / $74.79 / $83.51	Professional	26	$74.79	$74.79	$83.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.48 / $271.26 / $347.77	Professional		$236.48	$271.26	$347.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.78 / $60.54 / $77.62	Professional	26	$52.78	$60.54	$77.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $183.70 / $210.72 / $270.14	Professional	TC	$183.70	$210.72	$270.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.80 / $319.02 / $457.06	Professional		$208.80	$319.02	$457.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.07 / $65.12 / $89.38	Professional	26	$47.07	$65.12	$89.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.83 / $246.42 / $311.08	Professional	TC	$169.83	$246.42	$311.08
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $96.04 / $96.04 / $96.04	Professional	26	$96.04	$96.04	$96.04
United Facility/Professional Professional Modifier Low / Median / High Price $205.83 / $251.08 / $388.25	Professional		$205.83	$251.08	$388.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.83 / $50.53 / $88.37	Professional	26	$39.83	$50.53	$88.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.38 / $196.07 / $299.33	Professional	TC	$161.38	$196.07	$299.33