Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.69 / $32.69 / $50.79	Facility	26	$32.69	$32.69	$50.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $131.03 / $207.73	Professional		$101.65	$131.03	$207.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.32 / $32.61 / $51.97	Professional	26	$21.32	$32.61	$51.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $104.73 / $155.21	Professional	TC	$69.04	$104.73	$155.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $72.79 / $72.79 / $72.79	Professional	26	$72.79	$72.79	$72.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $211.08 / $211.08	Professional		$159.47	$211.08	$211.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.08 / $37.17 / $37.17	Professional	26	$28.08	$37.17	$37.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.40 / $173.91 / $173.91	Professional	TC	$131.40	$173.91	$173.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $223.29 / $287.97	Professional		$153.71	$223.29	$287.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.95 / $39.36 / $50.37	Professional	26	$26.95	$39.36	$50.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.60 / $186.15 / $238.30	Professional	TC	$125.60	$186.15	$238.30
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $83.71 / $83.71 / $83.71	Professional	26	$83.71	$83.71	$83.71
United Facility/Professional Professional Modifier Low / Median / High Price $137.49 / $197.28 / $282.06	Professional		$137.49	$197.28	$282.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.19 / $34.86 / $49.35	Professional	26	$25.19	$34.86	$49.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.56 / $165.32 / $233.17	Professional	TC	$120.56	$165.32	$233.17