Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $50.49 / $53.38	Facility	26	$31.62	$50.49	$53.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $222.95 / $416.33	Professional		$173.15	$222.95	$416.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $40.22 / $58.47	Professional	26	$23.61	$40.22	$58.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.68 / $183.96 / $300.33	Professional	TC	$132.68	$183.96	$300.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.20 / $52.03 / $76.51	Professional	26	$27.20	$52.03	$76.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $275.50 / $275.50	Professional		$208.15	$275.50	$275.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.03 / $56.95 / $56.95	Professional	26	$43.03	$56.95	$56.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $165.12 / $218.55 / $218.55	Professional	TC	$165.12	$218.55	$218.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.54 / $285.25 / $353.00	Professional		$179.54	$285.25	$353.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.19 / $44.10 / $72.53	Professional	26	$28.19	$44.10	$72.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.35 / $233.17 / $290.30	Professional	TC	$151.35	$233.17	$290.30
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $31.28 / $59.82 / $70.81	Professional	26	$31.28	$59.82	$70.81
United Facility/Professional Professional Modifier Low / Median / High Price $174.63 / $242.10 / $380.37	Professional		$174.63	$242.10	$380.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $41.14 / $70.65	Professional	26	$20.97	$41.14	$70.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.26 / $203.57 / $309.14	Professional	TC	$147.26	$203.57	$309.14