Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.56 / $78.81 / $81.50	Facility	26	$66.56	$78.81	$81.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.99 / $311.00 / $403.61	Professional		$223.99	$311.00	$403.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.13 / $44.68 / $66.56	Professional	26	$34.13	$44.68	$66.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $189.86 / $266.31 / $337.04	Professional	TC	$189.86	$266.31	$337.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.54 / $82.47 / $83.29	Professional	26	$81.54	$82.47	$83.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.25 / $394.88 / $506.25	Professional		$344.25	$394.88	$506.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.72 / $66.20 / $84.88	Professional	26	$57.72	$66.20	$84.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $286.52 / $328.67 / $421.37	Professional	TC	$286.52	$328.67	$421.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $432.61 / $582.95	Professional		$296.00	$432.61	$582.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.26 / $71.81 / $97.73	Professional	26	$51.26	$71.81	$97.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $244.74 / $360.09 / $485.23	Professional	TC	$244.74	$360.09	$485.23
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $93.77 / $93.77 / $93.77	Professional	26	$93.77	$93.77	$93.77
United Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $344.97 / $556.71	Professional		$299.52	$344.97	$556.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $58.06 / $95.22	Professional	26	$46.78	$58.06	$95.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.75 / $290.52 / $463.97	Professional	TC	$252.75	$290.52	$463.97