Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.54 / $122.21 / $145.21	Facility	26	$76.54	$122.21	$145.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $556.27 / $740.71	Professional		$475.00	$556.27	$740.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.40 / $127.58 / $199.06	Professional	26	$106.40	$127.58	$199.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $427.38 / $620.39	Professional	TC	$335.00	$427.38	$620.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $549.39 / $549.39 / $549.39	Professional		$549.39	$549.39	$549.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $110.36 / $128.22 / $142.71	Professional	26	$110.36	$128.22	$142.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.87 / $512.04 / $568.92	Professional		$386.87	$512.04	$568.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.84 / $100.40 / $111.55	Professional	26	$75.84	$100.40	$111.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $311.02 / $411.64 / $457.38	Professional	TC	$311.02	$411.64	$457.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $259.73 / $377.01	Professional		$68.26	$259.73	$377.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.06 / $708.21 / $1,377.39	Professional		$395.06	$708.21	$1,377.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.01 / $114.18 / $154.72	Professional	26	$72.01	$114.18	$154.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $317.60 / $579.58 / $1,227.98	Professional	TC	$317.60	$579.58	$1,227.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $631.79 / $631.79 / $631.79	Professional		$631.79	$631.79	$631.79
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $126.91 / $141.52 / $168.67	Professional	26	$126.91	$141.52	$168.67
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $457.45 / $457.45 / $457.45	Professional	TC	$457.45	$457.45	$457.45
United Facility/Professional Professional Modifier Low / Median / High Price $339.77 / $623.34 / $1,100.89	Professional		$339.77	$623.34	$1,100.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.06 / $104.20 / $146.35	Professional	26	$70.06	$104.20	$146.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $271.20 / $479.72 / $1,003.13	Professional	TC	$271.20	$479.72	$1,003.13