Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.48 / $77.43 / $129.33	Facility	26	$75.48	$77.43	$129.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.83 / $511.02 / $924.10	Professional		$404.83	$511.02	$924.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $72.75 / $122.40	Professional	26	$58.34	$72.75	$122.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $349.02 / $432.42 / $661.88	Professional	TC	$349.02	$432.42	$661.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $91.82 / $91.82 / $116.38	Professional	26	$91.82	$91.82	$116.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $558.04 / $558.04 / $558.04	Professional	TC	$558.04	$558.04	$558.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.31 / $560.26 / $560.26	Professional		$423.31	$560.26	$560.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.84 / $85.83 / $85.83	Professional	26	$64.84	$85.83	$85.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $358.46 / $474.43 / $474.43	Professional	TC	$358.46	$474.43	$474.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $576.85 / $962.45	Professional		$350.00	$576.85	$962.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.01 / $91.63 / $147.44	Professional	26	$67.01	$91.63	$147.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $309.45 / $495.20 / $815.01	Professional	TC	$309.45	$495.20	$815.01
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $301.30 / $301.30 / $301.30	Professional		$301.30	$301.30	$301.30
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $105.59 / $105.59 / $105.59	Professional	26	$105.59	$105.59	$105.59
United Facility/Professional Professional Modifier Low / Median / High Price $325.41 / $511.36 / $902.21	Professional		$325.41	$511.36	$902.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.82 / $83.27 / $134.61	Professional	26	$51.82	$83.27	$134.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $295.66 / $425.10 / $741.42	Professional	TC	$295.66	$425.10	$741.42