Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.34 / $92.59 / $99.39	Facility	26	$74.34	$92.59	$99.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.48 / $475.00 / $598.50	Professional		$261.48	$475.00	$598.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.34 / $99.47 / $176.40	Professional	26	$74.34	$99.47	$176.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $198.99 / $335.00 / $441.00	Professional	TC	$198.99	$335.00	$441.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $494.09 / $494.09 / $494.09	Professional		$494.09	$494.09	$494.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.68 / $91.08 / $103.75	Professional	26	$62.68	$91.08	$103.75
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $417.28 / $417.28 / $417.28	Professional	TC	$417.28	$417.28	$417.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.51 / $350.09 / $388.99	Professional		$264.51	$350.09	$388.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.69 / $81.65 / $90.72	Professional	26	$61.69	$81.65	$90.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $202.82 / $268.44 / $298.27	Professional	TC	$202.82	$268.44	$298.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $159.24 / $246.93	Professional		$55.23	$159.24	$246.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.10 / $470.93 / $726.61	Professional		$270.10	$470.93	$726.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.98 / $85.79 / $123.70	Professional	26	$54.98	$85.79	$123.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $207.11 / $377.88 / $633.87	Professional	TC	$207.11	$377.88	$633.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $568.20 / $568.20 / $568.20	Professional		$568.20	$568.20	$568.20
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $72.08 / $104.74 / $119.31	Professional	26	$72.08	$104.74	$119.31
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $479.87 / $479.87 / $479.87	Professional	TC	$479.87	$479.87	$479.87
United Facility/Professional Professional Modifier Low / Median / High Price $236.57 / $414.39 / $600.66	Professional		$236.57	$414.39	$600.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.28 / $66.80 / $112.57	Professional	26	$56.28	$66.80	$112.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.53 / $298.72 / $548.85	Professional	TC	$174.53	$298.72	$548.85