Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.97 / $284.35 / $493.71	Professional		$251.97	$284.35	$493.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.39 / $53.31 / $113.28	Professional	26	$35.39	$53.31	$113.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $216.58 / $244.08 / $397.77	Professional	TC	$216.58	$244.08	$397.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.67 / $42.67 / $69.28	Professional	26	$42.67	$42.67	$69.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $298.42 / $394.97	Professional		$39.97	$298.42	$394.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.30 / $53.30 / $66.62	Professional	26	$45.30	$53.30	$66.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $253.12 / $297.79 / $372.24	Professional	TC	$253.12	$297.79	$372.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $198.45 / $440.29	Professional		$95.16	$198.45	$440.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.61 / $45.27 / $77.51	Professional	26	$20.61	$45.27	$77.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.97 / $160.66 / $394.35	Professional	TC	$72.97	$160.66	$394.35
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $49.07 / $49.07 / $79.67	Professional	26	$49.07	$49.07	$79.67
United Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $182.19 / $348.26	Professional		$109.45	$182.19	$348.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.49 / $32.97 / $60.05	Professional	26	$23.49	$32.97	$60.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.82 / $155.62 / $302.07	Professional	TC	$83.82	$155.62	$302.07