Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.69 / $394.31 / $683.91	Professional		$329.69	$394.31	$683.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $160.80 / $178.66 / $270.20	Professional	26	$160.80	$178.66	$270.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.89 / $206.26 / $502.33	Professional	TC	$168.89	$206.26	$502.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.19 / $320.19 / $320.19	Professional		$320.19	$320.19	$320.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $159.29 / $159.29 / $159.29	Professional	26	$159.29	$159.29	$159.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.06 / $484.50 / $538.33	Professional		$366.06	$484.50	$538.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $179.51 / $237.58 / $263.98	Professional	26	$179.51	$237.58	$263.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.55 / $246.91 / $274.33	Professional	TC	$186.55	$246.91	$274.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.29 / $326.16 / $326.16	Professional		$272.29	$326.16	$326.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $88.47 / $153.56 / $153.56	Professional	26	$88.47	$153.56	$153.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $180.63	Professional	TC	$172.60	$172.60	$180.63
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $368.22 / $368.22 / $368.22	Professional		$368.22	$368.22	$368.22
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $183.18 / $183.18 / $183.18	Professional	26	$183.18	$183.18	$183.18
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $185.04 / $185.04 / $185.04	Professional	TC	$185.04	$185.04	$185.04
United Facility/Professional Professional Modifier Low / Median / High Price $196.37 / $346.21 / $683.93	Professional		$196.37	$346.21	$683.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.95 / $143.88 / $239.93	Professional	26	$97.95	$143.88	$239.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.48 / $228.51 / $471.44	Professional	TC	$83.48	$228.51	$471.44