Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.61 / $74.31 / $88.76	Facility	26	$65.61	$74.31	$88.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $393.21 / $423.55	Professional		$260.08	$393.21	$423.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.13 / $53.40 / $86.75	Professional	26	$34.13	$53.40	$86.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $225.96 / $339.81 / $348.03	Professional	TC	$225.96	$339.81	$348.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $81.37 / $82.18 / $91.79	Professional	26	$81.37	$82.18	$91.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.47 / $402.00 / $515.39	Professional		$350.47	$402.00	$515.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.24 / $65.65 / $84.17	Professional	26	$57.24	$65.65	$84.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $293.23 / $336.35 / $431.22	Professional	TC	$293.23	$336.35	$431.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.90 / $452.94 / $639.03	Professional		$334.90	$452.94	$639.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.64 / $70.68 / $97.83	Professional	26	$51.64	$70.68	$97.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $256.89 / $384.00 / $541.20	Professional	TC	$256.89	$384.00	$541.20
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $94.52 / $94.52 / $105.56	Professional	26	$94.52	$94.52	$105.56
United Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $362.09 / $645.26	Professional		$316.58	$362.09	$645.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $58.80 / $96.45	Professional	26	$46.78	$58.80	$96.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $252.60 / $329.67 / $546.48	Professional	TC	$252.60	$329.67	$546.48