Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.97 / $31.04 / $32.56	Facility	26	$20.97	$31.04	$32.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $141.54 / $258.52	Professional		$103.10	$141.54	$258.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $24.81 / $39.38	Professional	26	$15.93	$24.81	$39.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.90 / $115.98 / $191.08	Professional	TC	$88.90	$115.98	$191.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.03 / $31.73 / $46.66	Professional	26	$21.03	$31.73	$46.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.86 / $171.87 / $171.87	Professional		$129.86	$171.87	$171.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.67 / $35.29 / $35.29	Professional	26	$26.67	$35.29	$35.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $103.19 / $136.58 / $136.58	Professional	TC	$103.19	$136.58	$136.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.01 / $181.18 / $226.58	Professional		$122.01	$181.18	$226.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.42 / $28.37 / $44.40	Professional	26	$18.42	$28.37	$44.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.26 / $153.22 / $192.36	Professional	TC	$97.26	$153.22	$192.36
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $40.45 / $53.66	Professional	26	$36.49	$40.45	$53.66
United Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $158.47 / $224.36	Professional		$111.66	$158.47	$224.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $25.26 / $45.80	Professional	26	$15.49	$25.26	$45.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.54 / $133.69 / $193.58	Professional	TC	$93.54	$133.69	$193.58