Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.84 / $109.94 / $131.63	Facility	26	$91.84	$109.94	$131.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $457.11 / $755.46	Professional		$365.98	$457.11	$755.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $107.95 / $435.76	Professional	26	$81.31	$107.95	$435.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $358.03 / $623.53	Professional	TC	$284.67	$358.03	$623.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.52 / $775.74 / $775.74	Professional		$389.52	$775.74	$775.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $112.74 / $137.77 / $144.05	Professional	26	$112.74	$137.77	$144.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.09 / $558.65 / $558.65	Professional		$422.09	$558.65	$558.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.68 / $129.29 / $129.29	Professional	26	$97.68	$129.29	$129.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $324.41 / $429.36 / $429.36	Professional	TC	$324.41	$429.36	$429.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $446.11 / $773.56	Professional		$222.79	$446.11	$773.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.03 / $126.11 / $163.03	Professional	26	$88.03	$126.11	$163.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.92 / $358.39 / $610.53	Professional	TC	$234.92	$358.39	$610.53
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $129.65 / $158.44 / $165.66	Professional	26	$129.65	$158.44	$165.66
United Facility/Professional Professional Modifier Low / Median / High Price $274.57 / $416.83 / $776.89	Professional		$274.57	$416.83	$776.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.73 / $107.99 / $165.55	Professional	26	$74.73	$107.99	$165.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.55 / $321.63 / $613.59	Professional	TC	$211.55	$321.63	$613.59