Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $89.13 / $91.20	Facility	26	$61.66	$89.13	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $275.42	Professional		$120.23	$181.97	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $74.13 / $158.49	Professional	26	$38.02	$74.13	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $125.89 / $141.25	Professional	TC	$81.28	$125.89	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $70.79 / $97.72	Professional	26	$42.66	$70.79	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $269.15	Professional		$186.21	$213.80	$269.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $74.13 / $95.50	Professional	26	$64.57	$74.13	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $138.04 / $177.83	Professional	TC	$120.23	$138.04	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $407.38	Professional		$173.78	$263.03	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $79.43 / $112.20	Professional	26	$57.54	$79.43	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $162.18 / $218.78	Professional	TC	$109.65	$162.18	$218.78
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $102.33 / $117.49	Professional	26	$87.10	$102.33	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $323.59	Professional		$158.49	$194.98	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $61.66 / $107.15	Professional	26	$52.48	$61.66	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $125.89 / $218.78	Professional	TC	$102.33	$125.89	$218.78