Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.40 / $82.52 / $97.96	Facility	26	$74.40	$82.52	$97.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $179.96 / $214.50	Professional		$119.75	$179.96	$214.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.63 / $59.28 / $95.55	Professional	26	$38.63	$59.28	$95.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.12 / $125.34 / $139.77	Professional	TC	$81.12	$125.34	$139.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $88.41 / $92.92 / $102.72	Professional	26	$88.41	$92.92	$102.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.54 / $211.68 / $271.38	Professional		$184.54	$211.68	$271.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.78 / $74.31 / $95.27	Professional	26	$64.78	$74.31	$95.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $119.75 / $137.37 / $176.11	Professional	TC	$119.75	$137.37	$176.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.45 / $250.79 / $384.99	Professional		$173.45	$250.79	$384.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.89 / $80.84 / $109.70	Professional	26	$57.89	$80.84	$109.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $110.80 / $168.46 / $209.36	Professional	TC	$110.80	$168.46	$209.36
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $101.67 / $105.78 / $118.13	Professional	26	$101.67	$105.78	$118.13
United Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $196.91 / $321.60	Professional		$158.87	$196.91	$321.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.43 / $61.27 / $108.12	Professional	26	$52.43	$61.27	$108.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.48 / $125.38 / $220.21	Professional	TC	$104.48	$125.38	$220.21