Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.91 / $12.11 / $22.34	Facility	26	$10.91	$12.11	$22.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $71.53 / $144.27	Professional		$37.50	$71.53	$144.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $10.99 / $35.70	Professional	26	$7.33	$10.99	$35.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.54 / $63.35 / $107.91	Professional	TC	$21.54	$63.35	$107.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $11.01 / $11.19	Professional	26	$11.01	$11.01	$11.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $63.49 / $70.54	Professional		$47.97	$63.49	$70.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $22.11 / $24.57	Professional	26	$16.71	$22.11	$24.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.26 / $41.37 / $45.97	Professional	TC	$31.26	$41.37	$45.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $27.42 / $48.33	Professional		$14.49	$27.42	$48.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $69.61 / $97.83	Professional		$39.71	$69.61	$97.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $13.64 / $28.29	Professional	26	$8.94	$13.64	$28.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.86 / $49.52 / $79.36	Professional	TC	$27.86	$49.52	$79.36
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $10.53 / $10.53	Professional	26	$10.53	$10.53	$10.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $67.01 / $86.97	Professional		$39.18	$67.01	$86.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $15.67 / $28.58	Professional	26	$8.36	$15.67	$28.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.84 / $42.35 / $74.70	Professional	TC	$24.84	$42.35	$74.70