Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $303.02 / $366.71 / $550.07	Facility	26	$303.02	$366.71	$550.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.67 / $1,175.74 / $1,257.60	Professional		$815.67	$1,175.74	$1,257.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $260.13 / $318.36 / $424.25	Professional	26	$260.13	$318.36	$424.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $555.54 / $812.37 / $880.97	Professional	TC	$555.54	$812.37	$880.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $323.76 / $323.76 / $323.76	Professional	26	$323.76	$323.76	$323.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.27 / $1,396.68 / $1,396.68	Professional		$1,055.27	$1,396.68	$1,396.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $320.58 / $424.30 / $424.30	Professional	26	$320.58	$424.30	$424.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $734.69 / $972.39 / $972.39	Professional	TC	$734.69	$972.39	$972.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.51 / $1,661.62 / $2,242.29	Professional		$1,427.51	$1,661.62	$2,242.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $419.14 / $507.18 / $642.98	Professional	26	$419.14	$507.18	$642.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,008.37 / $1,190.24 / $1,599.31	Professional	TC	$1,008.37	$1,190.24	$1,599.31
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $372.32 / $372.32 / $372.32	Professional	26	$372.32	$372.32	$372.32
United Facility/Professional Professional Modifier Low / Median / High Price $958.06 / $1,383.80 / $1,991.86	Professional		$958.06	$1,383.80	$1,991.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $278.04 / $435.55 / $596.99	Professional	26	$278.04	$435.55	$596.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $676.76 / $932.75 / $1,395.38	Professional	TC	$676.76	$932.75	$1,395.38