Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.13 / $41.86 / $43.69	Facility	26	$30.13	$41.86	$43.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $122.62 / $325.00	Professional		$73.48	$122.62	$325.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.79 / $36.24 / $60.00	Professional	26	$24.79	$36.24	$60.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.13 / $80.76 / $129.28	Professional	TC	$48.13	$80.76	$129.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.39 / $44.30 / $50.46	Professional	26	$26.39	$44.30	$50.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $131.15 / $145.72	Professional		$99.09	$131.15	$145.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.64 / $39.22 / $43.59	Professional	26	$29.64	$39.22	$43.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.45 / $91.92 / $102.13	Professional	TC	$69.45	$91.92	$102.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $73.11 / $115.03	Professional		$26.87	$73.11	$115.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $135.97 / $200.13	Professional		$89.92	$135.97	$200.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $39.31 / $59.61	Professional	26	$25.80	$39.31	$59.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.98 / $92.66 / $140.38	Professional	TC	$61.98	$92.66	$140.38
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $49.94 / $51.85 / $64.40	Professional	26	$49.94	$51.85	$64.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $117.07 / $189.61	Professional		$91.81	$117.07	$189.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $33.61 / $53.26	Professional	26	$26.07	$33.61	$53.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.00 / $79.17 / $134.97	Professional	TC	$61.00	$79.17	$134.97