Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.64 / $59.64 / $71.51	Facility	26	$59.64	$59.64	$71.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.01 / $219.22 / $364.46	Professional		$190.01	$219.22	$364.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.00 / $55.42 / $102.28	Professional	26	$44.00	$55.42	$102.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $130.37 / $176.60 / $296.88	Professional	TC	$130.37	$176.60	$296.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $92.05 / $92.05 / $92.05	Professional	26	$92.05	$92.05	$92.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.58 / $340.91 / $340.91	Professional		$257.58	$340.91	$340.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.14 / $63.71 / $63.71	Professional	26	$48.14	$63.71	$63.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $209.44 / $277.20 / $277.20	Professional	TC	$209.44	$277.20	$277.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $379.79 / $484.72	Professional		$257.60	$379.79	$484.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.62 / $66.48 / $87.69	Professional	26	$44.62	$66.48	$87.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $209.11 / $313.52 / $393.22	Professional	TC	$209.11	$313.52	$393.22
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $105.86 / $105.86 / $105.86	Professional	26	$105.86	$105.86	$105.86
United Facility/Professional Professional Modifier Low / Median / High Price $236.21 / $332.77 / $475.95	Professional		$236.21	$332.77	$475.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.39 / $59.07 / $89.62	Professional	26	$42.39	$59.07	$89.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.61 / $273.63 / $394.63	Professional	TC	$196.61	$273.63	$394.63