Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $125.89	Professional		$70.79	$100.00	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $40.74	Professional	26	$20.89	$26.92	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $74.13 / $85.11	Professional	TC	$46.77	$74.13	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Professional	26	$39.81	$39.81	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $138.04	Professional		$91.20	$104.71	$138.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $33.11 / $43.65	Professional	26	$33.11	$33.11	$43.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $70.79 / $93.33	Professional	TC	$70.79	$70.79	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $75.86 / $181.97	Professional		$34.67	$75.86	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $27.54 / $54.95	Professional	26	$12.30	$27.54	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $51.29 / $123.03	Professional	TC	$22.39	$51.29	$123.03
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	26	$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $120.23	Professional		$39.81	$67.61	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $22.91 / $43.65	Professional	26	$14.45	$22.91	$43.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $48.98 / $91.20	Professional	TC	$25.70	$48.98	$91.20