Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $81.28 / $100.00	Facility	26	$58.88	$81.28	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $363.08	Professional		$154.88	$199.53	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $72.44 / $169.82	Professional	26	$51.29	$72.44	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $128.82 / $302.00	Professional	TC	$100.00	$128.82	$302.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $52.48 / $95.50	Professional	26	$39.81	$52.48	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $234.42	Professional		$162.18	$186.21	$234.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $66.07 / $85.11	Professional	26	$57.54	$66.07	$85.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $117.49 / $151.36	Professional	TC	$102.33	$117.49	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $120.23 / $223.87	Professional		$52.48	$120.23	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $446.68	Professional		$151.36	$316.23	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $120.23	Professional	26	$54.95	$83.18	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $208.93 / $331.13	Professional	TC	$97.72	$208.93	$331.13
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $100.00 / $114.82	Professional	26	$51.29	$100.00	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $436.52	Professional		$147.91	$245.47	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $64.57 / $112.20	Professional	26	$50.12	$64.57	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $154.88 / $331.13	Professional	TC	$97.72	$154.88	$331.13