Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.32 / $43.14 / $52.67	Facility	26	$36.32	$43.14	$52.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $126.15 / $181.31	Professional		$91.59	$126.15	$181.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.62 / $42.24 / $51.21	Professional	26	$28.62	$42.24	$51.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.97 / $83.02 / $130.10	Professional	TC	$62.97	$83.02	$130.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.22 / $53.41 / $54.49	Professional	26	$51.22	$53.41	$54.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $131.40 / $146.00	Professional		$99.28	$131.40	$146.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.95 / $44.93 / $49.92	Professional	26	$33.95	$44.93	$49.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.33 / $86.47 / $96.08	Professional	TC	$65.33	$86.47	$96.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $73.42 / $122.11	Professional		$32.39	$73.42	$122.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $139.54 / $205.00	Professional		$98.97	$139.54	$205.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.61 / $47.63 / $64.81	Professional	26	$31.61	$47.63	$64.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.06 / $91.57 / $135.79	Professional	TC	$67.06	$91.57	$135.79
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $58.90 / $61.42 / $67.15	Professional	26	$58.90	$61.42	$67.15
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $117.53 / $198.77	Professional		$92.71	$117.53	$198.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.93 / $39.02 / $64.66	Professional	26	$31.93	$39.02	$64.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.98 / $76.86 / $134.46	Professional	TC	$64.98	$76.86	$134.46