Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.84 / $89.18 / $139.19	Facility	26	$73.84	$89.18	$139.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.20 / $550.14 / $571.78	Professional		$330.20	$550.14	$571.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.57 / $73.54 / $96.31	Professional	26	$46.57	$73.54	$96.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $283.63 / $476.60 / $482.60	Professional	TC	$283.63	$476.60	$482.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $106.49 / $106.49 / $123.72	Professional	26	$106.49	$106.49	$123.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.09 / $448.60 / $575.13	Professional		$391.09	$448.60	$575.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.19 / $73.62 / $94.39	Professional	26	$64.19	$73.62	$94.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $326.89 / $374.98 / $480.74	Professional	TC	$326.89	$374.98	$480.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.06 / $683.89 / $721.24	Professional		$420.06	$683.89	$721.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.15 / $97.58 / $112.87	Professional	26	$66.15	$97.58	$112.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $353.90 / $574.88 / $623.66	Professional	TC	$353.90	$574.88	$623.66
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $122.46 / $142.28 / $142.28	Professional	26	$122.46	$142.28	$142.28
United Facility/Professional Professional Modifier Low / Median / High Price $419.37 / $508.78 / $821.08	Professional		$419.37	$508.78	$821.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.05 / $80.75 / $132.21	Professional	26	$64.05	$80.75	$132.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $353.34 / $428.18 / $691.00	Professional	TC	$353.34	$428.18	$691.00