Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $107.23 / $258.08	Professional		$94.87	$107.23	$258.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.68 / $31.50 / $54.07	Professional	26	$27.68	$31.50	$54.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.19 / $75.72 / $183.22	Professional	TC	$67.19	$75.72	$183.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.17 / $39.17 / $39.17	Professional	26	$39.17	$39.17	$39.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $101.95 / $134.94	Professional		$31.22	$101.95	$134.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.39 / $41.63 / $52.04	Professional	26	$35.39	$41.63	$52.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.56 / $78.31 / $97.89	Professional	TC	$66.56	$78.31	$97.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $127.95 / $286.66	Professional		$53.68	$127.95	$286.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.80 / $42.85 / $68.13	Professional	26	$15.80	$42.85	$68.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.88 / $85.10 / $207.18	Professional	TC	$37.88	$85.10	$207.18
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $45.05 / $45.05 / $45.05	Professional	26	$45.05	$45.05	$45.05
United Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $109.37 / $228.50	Professional		$58.03	$109.37	$228.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.53 / $35.72 / $80.93	Professional	26	$20.53	$35.72	$80.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.50 / $79.40 / $171.44	Professional	TC	$37.50	$79.40	$171.44