Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $48.98 / $70.79	Facility	26	$35.48	$48.98	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.10 / $218.78	Professional		$45.71	$87.10	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.90 / $81.28	Professional	26	$22.91	$38.90	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $28.18 / $91.20	Professional	TC	$10.00	$28.18	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $109.65	Professional		$35.48	$41.69	$109.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $42.66 / $75.86	Professional	26	$33.11	$42.66	$75.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.76 / $12.88 / $91.20	Professional	TC	$7.76	$12.88	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $125.89	Professional		$85.11	$97.72	$125.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $37.15 / $47.86	Professional	26	$32.36	$37.15	$47.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $61.66 / $77.62	Professional	TC	$53.70	$61.66	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $41.69 / $95.50	Professional		$9.33	$41.69	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $117.49 / $186.21	Professional		$46.77	$117.49	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $40.74 / $64.57	Professional	26	$30.20	$40.74	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $81.28 / $138.04	Professional	TC	$8.91	$81.28	$138.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $169.82	Professional		$95.50	$100.00	$169.82
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $81.28 / $87.10	Professional	26	$81.28	$81.28	$87.10
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $14.79 / $104.71	Professional	TC	$14.79	$14.79	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $169.82	Professional		$67.61	$97.72	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $35.48 / $63.10	Professional	26	$28.18	$35.48	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $56.23 / $120.23	Professional	TC	$35.48	$56.23	$120.23