Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.71 / $56.71 / $72.81	Facility	26	$56.71	$56.71	$72.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $167.97 / $290.70	Professional		$102.48	$167.97	$290.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $56.71 / $74.90	Professional	26	$35.72	$56.71	$74.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.76 / $111.27 / $192.08	Professional	TC	$66.76	$111.27	$192.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $156.97 / $201.78	Professional		$156.97	$156.97	$201.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.25 / $53.25 / $53.25	Professional	26	$53.25	$53.25	$53.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $190.94 / $190.94	Professional		$144.27	$190.94	$190.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.54 / $65.56 / $65.56	Professional	26	$49.54	$65.56	$65.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.73 / $125.38 / $125.38	Professional	TC	$94.73	$125.38	$125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $204.42 / $318.02	Professional		$138.22	$204.42	$318.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.67 / $68.43 / $98.01	Professional	26	$47.67	$68.43	$98.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.63 / $130.87 / $209.42	Professional	TC	$89.63	$130.87	$209.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $232.05 / $232.05 / $232.05	Professional		$232.05	$232.05	$232.05
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $61.24 / $61.24 / $61.24	Professional	26	$61.24	$61.24	$61.24
United Facility/Professional Professional Modifier Low / Median / High Price $114.99 / $175.30 / $304.98	Professional		$114.99	$175.30	$304.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.57 / $60.04 / $90.92	Professional	26	$41.57	$60.04	$90.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.14 / $121.38 / $212.26	Professional	TC	$83.14	$121.38	$212.26