Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $389.05	Professional		$181.97	$251.19	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $52.48 / $257.04	Professional	26	$28.84	$52.48	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $213.80 / $338.84	Professional	TC	$147.91	$213.80	$338.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $42.66 / $69.18	Professional	26	$19.05	$42.66	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $398.11	Professional		$263.03	$295.12	$398.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $45.71 / $60.26	Professional	26	$45.71	$45.71	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $251.19 / $338.84	Professional	TC	$251.19	$251.19	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $208.93 / $467.74	Professional		$95.50	$208.93	$467.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $45.71 / $77.62	Professional	26	$20.42	$45.71	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $165.96 / $398.11	Professional	TC	$72.44	$165.96	$398.11
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $57.54 / $79.43	Professional	26	$48.98	$57.54	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $346.74	Professional		$109.65	$186.21	$346.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $41.69 / $61.66	Professional	26	$25.12	$41.69	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $154.88 / $331.13	Professional	TC	$83.18	$154.88	$331.13