Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.89 / $135.72 / $314.26	Facility	26	$124.89	$135.72	$314.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $345.29 / $487.30	Professional		$264.83	$345.29	$487.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.31 / $108.90 / $155.77	Professional	26	$94.31	$108.90	$155.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.94 / $220.65 / $330.97	Professional	TC	$157.94	$220.65	$330.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $122.97 / $122.97 / $122.97	Professional	26	$122.97	$122.97	$122.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.37 / $367.11 / $367.11	Professional		$277.37	$367.11	$367.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.06 / $149.63 / $149.63	Professional	26	$113.06	$149.63	$149.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $164.31 / $217.47 / $217.47	Professional	TC	$164.31	$217.47	$217.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.38 / $384.55 / $513.82	Professional		$252.38	$384.55	$513.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.92 / $145.28 / $194.21	Professional	26	$100.92	$145.28	$194.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.40 / $225.99 / $311.41	Professional	TC	$94.40	$225.99	$311.41
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $141.41 / $141.41 / $141.41	Professional	26	$141.41	$141.41	$141.41
United Facility/Professional Professional Modifier Low / Median / High Price $198.10 / $281.98 / $513.02	Professional		$198.10	$281.98	$513.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.47 / $138.13 / $196.13	Professional	26	$86.47	$138.13	$196.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $113.00 / $185.02 / $330.99	Professional	TC	$113.00	$185.02	$330.99