Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.32 / $122.27 / $134.87	Facility	26	$84.32	$122.27	$134.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.24 / $529.71 / $642.44	Professional		$328.24	$529.71	$642.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.67 / $134.87 / $154.00	Professional	26	$97.67	$134.87	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $276.04 / $398.38 / $461.90	Professional	TC	$276.04	$398.38	$461.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $465.56 / $465.56 / $465.56	Professional		$465.56	$465.56	$465.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.04 / $127.56 / $141.22	Professional	26	$85.04	$127.56	$141.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.44 / $467.78 / $519.76	Professional		$353.44	$467.78	$519.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.71 / $110.79 / $123.10	Professional	26	$83.71	$110.79	$123.10
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.73 / $356.99 / $396.66	Professional	TC	$269.73	$356.99	$396.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $233.62 / $355.64	Professional		$75.19	$233.62	$355.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.17 / $574.12 / $837.89	Professional		$330.17	$574.12	$837.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.45 / $111.11 / $168.41	Professional	26	$74.45	$111.11	$168.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.68 / $439.31 / $739.74	Professional	TC	$255.68	$439.31	$739.74
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $535.39 / $535.39 / $535.39	Professional		$535.39	$535.39	$535.39
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $139.79 / $146.69 / $180.55	Professional	26	$139.79	$146.69	$180.55
United Facility/Professional Professional Modifier Low / Median / High Price $345.36 / $567.23 / $708.97	Professional		$345.36	$567.23	$708.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.83 / $93.52 / $157.35	Professional	26	$76.83	$93.52	$157.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.17 / $438.10 / $621.87	Professional	TC	$259.17	$438.10	$621.87