Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.63 / $134.06 / $266.13	Professional		$118.63	$134.06	$266.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.50 / $39.25 / $64.17	Professional	26	$34.50	$39.25	$64.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.12 / $87.67 / $164.59	Professional	TC	$84.12	$87.67	$164.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $167.14 / $167.14	Professional		$167.14	$167.14	$167.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.69 / $118.89 / $157.36	Professional		$37.69	$118.89	$157.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.71 / $50.25 / $62.81	Professional	26	$42.71	$50.25	$62.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.18 / $89.62 / $112.03	Professional	TC	$76.18	$89.62	$112.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.08 / $133.10 / $246.90	Professional		$71.08	$133.10	$246.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.04 / $49.00 / $73.98	Professional	26	$20.04	$49.00	$73.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.90 / $87.03 / $167.15	Professional	TC	$47.90	$87.03	$167.15
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $192.21 / $192.21 / $192.21	Professional		$192.21	$192.21	$192.21
United Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $127.20 / $206.44	Professional		$71.48	$127.20	$206.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.95 / $43.31 / $87.76	Professional	26	$23.95	$43.31	$87.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.26 / $72.45 / $120.88	Professional	TC	$35.26	$72.45	$120.88