Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $108.65 / $191.19	Professional		$95.74	$108.65	$191.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.42 / $82.37 / $134.87	Professional	26	$72.42	$82.37	$134.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $26.28 / $61.21	Professional	TC	$23.32	$26.28	$61.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $90.73 / $90.73 / $104.59	Professional	26	$90.73	$90.73	$104.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $113.32 / $149.97	Professional		$78.87	$113.32	$149.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.39 / $105.16 / $131.44	Professional	26	$89.39	$105.16	$131.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.93 / $28.15 / $35.19	Professional	TC	$23.93	$28.15	$35.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $116.20 / $196.57	Professional		$56.15	$116.20	$196.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.35 / $85.96 / $144.22	Professional	26	$41.35	$85.96	$144.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.67 / $28.52 / $62.20	Professional	TC	$14.67	$28.52	$62.20
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $106.50 / $106.50 / $120.28	Professional	26	$106.50	$106.50	$120.28
United Facility/Professional Professional Modifier Low / Median / High Price $65.03 / $105.89 / $152.94	Professional		$65.03	$105.89	$152.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.96 / $72.76 / $95.12	Professional	26	$48.96	$72.76	$95.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.22 / $32.83 / $50.48	Professional	TC	$15.22	$32.83	$50.48