Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $89.13 / $138.04	Facility	26	$74.13	$89.13	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $575.44	Professional		$331.13	$467.74	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $67.61 / $177.83	Professional	26	$45.71	$67.61	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $407.38 / $489.78	Professional	TC	$281.84	$407.38	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $107.15 / $125.89	Professional	26	$61.66	$107.15	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $575.44	Professional		$389.05	$446.68	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $74.13 / $93.33	Professional	26	$64.57	$74.13	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $371.54 / $478.63	Professional	TC	$323.59	$371.54	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $724.44	Professional		$416.87	$602.56	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $102.33 / $117.49	Professional	26	$66.07	$102.33	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $524.81 / $602.56	Professional	TC	$354.81	$524.81	$602.56
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $123.03 / $144.54	Professional	26	$123.03	$123.03	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $812.83	Professional		$446.68	$512.86	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $81.28 / $131.83	Professional	26	$64.57	$81.28	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $436.52 / $691.83	Professional	TC	$354.81	$436.52	$691.83