Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.58 / $47.58 / $71.37	Facility	26	$47.58	$47.58	$71.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.18 / $299.41 / $517.60	Professional		$210.18	$299.41	$517.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.03 / $40.90 / $83.98	Professional	26	$32.03	$40.90	$83.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $178.15 / $258.50 / $416.37	Professional	TC	$178.15	$258.50	$416.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $279.50 / $279.50 / $279.50	Professional		$279.50	$279.50	$279.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.24 / $40.24 / $40.24	Professional	26	$40.24	$40.24	$40.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.06 / $317.73 / $317.73	Professional		$240.06	$317.73	$317.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $49.11 / $49.11	Professional	26	$37.11	$49.11	$49.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $202.95 / $268.61 / $268.61	Professional	TC	$202.95	$268.61	$268.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.49 / $347.34 / $445.03	Professional		$231.49	$347.34	$445.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.64 / $52.34 / $71.53	Professional	26	$36.64	$52.34	$71.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.85 / $293.64 / $373.50	Professional	TC	$194.85	$293.64	$373.50
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $321.43 / $321.43 / $321.43	Professional		$321.43	$321.43	$321.43
United Facility/Professional Professional Modifier Low / Median / High Price $230.99 / $275.35 / $462.40	Professional		$230.99	$275.35	$462.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.95 / $48.13 / $72.62	Professional	26	$32.95	$48.13	$72.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.02 / $263.52 / $389.78	Professional	TC	$189.02	$263.52	$389.78