Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.14 / $44.14 / $66.20	Facility	26	$44.14	$44.14	$66.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $115.22 / $170.00	Professional		$81.72	$115.22	$170.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.43 / $31.98 / $58.17	Professional	26	$22.43	$31.98	$58.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.30 / $86.44 / $109.26	Professional	TC	$59.30	$86.44	$109.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.98 / $149.54 / $149.54	Professional		$124.98	$149.54	$149.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.72 / $41.78 / $42.20	Professional	26	$39.72	$41.78	$42.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $122.85 / $162.59	Professional		$31.28	$122.85	$162.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.46 / $41.71 / $46.93	Professional	26	$35.46	$41.71	$46.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.39 / $102.82 / $115.67	Professional	TC	$87.39	$102.82	$115.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $89.41 / $179.67	Professional		$44.50	$89.41	$179.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $28.82 / $49.94	Professional	26	$13.10	$28.82	$49.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.08 / $70.50 / $129.72	Professional	TC	$31.08	$70.50	$129.72
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $143.72 / $171.97	Professional		$143.72	$143.72	$171.97
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $45.68 / $45.68 / $48.05	Professional	26	$45.68	$45.68	$48.05
United Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $85.06 / $140.38	Professional		$52.22	$85.06	$140.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $24.66 / $36.09	Professional	26	$15.66	$24.66	$36.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.78 / $62.58 / $104.30	Professional	TC	$36.78	$62.58	$104.30