Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $239.88	Professional		$93.33	$120.23	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $34.67 / $77.62	Professional	26	$26.92	$34.67	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $85.11 / $165.96	Professional	TC	$67.61	$85.11	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $50.12 / $63.10	Professional	26	$50.12	$50.12	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $158.49	Professional		$104.71	$120.23	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $56.23	Professional	26	$42.66	$42.66	$56.23
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $75.86 / $100.00	Professional	TC	$75.86	$75.86	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $245.47	Professional		$70.79	$131.83	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $48.98 / $77.62	Professional	26	$19.95	$48.98	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $89.13 / $173.78	Professional	TC	$47.86	$89.13	$173.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $57.54 / $72.44	Professional	26	$57.54	$57.54	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $204.17	Professional		$70.79	$134.90	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $43.65 / $97.72	Professional	26	$23.99	$43.65	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $85.11 / $147.91	Professional	TC	$35.48	$85.11	$147.91