Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.28 / $20.28 / $24.83	Facility	26	$20.28	$20.28	$24.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $73.02 / $249.44	Professional		$56.75	$73.02	$249.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $20.28 / $70.52	Professional	26	$14.36	$20.28	$70.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.39 / $52.74 / $95.92	Professional	TC	$42.39	$52.74	$95.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.70 / $24.66 / $27.54	Professional	26	$23.70	$24.66	$27.54
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $71.47 / $71.47 / $71.47	Professional	TC	$71.47	$71.47	$71.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $79.14 / $87.93	Professional		$59.79	$79.14	$87.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.99 / $21.16 / $23.51	Professional	26	$15.99	$21.16	$23.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.81 / $57.98 / $64.42	Professional	TC	$43.81	$57.98	$64.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $54.17 / $79.11	Professional		$14.66	$54.17	$79.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $82.07 / $124.64	Professional		$59.36	$82.07	$124.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.43 / $22.03 / $29.78	Professional	26	$14.43	$22.03	$29.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.87 / $60.13 / $93.35	Professional	TC	$43.87	$60.13	$93.35
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $27.26 / $28.36 / $31.67	Professional	26	$27.26	$28.36	$31.67
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $82.19 / $82.19 / $82.19	Professional	TC	$82.19	$82.19	$82.19
United Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $72.13 / $121.52	Professional		$57.96	$72.13	$121.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.68 / $18.71 / $29.88	Professional	26	$14.68	$18.71	$29.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.30 / $57.17 / $93.61	Professional	TC	$42.30	$57.17	$93.61