Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $234.90 / $509.85	Facility		$72.59	$234.90	$509.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.01 / $47.16 / $54.31	Facility	26	$41.01	$47.16	$54.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $72.59 / $221.30	Professional		$47.35	$72.59	$221.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.08 / $41.01 / $82.01	Professional	26	$26.08	$41.01	$82.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.27 / $31.59 / $187.42	Professional	TC	$21.27	$31.59	$187.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $89.66 / $94.33	Professional		$46.54	$89.66	$94.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.46 / $48.95 / $55.75	Professional	26	$34.46	$48.95	$55.75
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $42.09 / $42.09 / $42.09	Professional	TC	$42.09	$42.09	$42.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $24.01 / $26.12	Facility		$24.01	$24.01	$26.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $74.30 / $82.55	Professional		$56.13	$74.30	$82.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.06 / $43.76 / $48.62	Professional	26	$33.06	$43.76	$48.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.07 / $30.54 / $33.93	Professional	TC	$23.07	$30.54	$33.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $36.61 / $71.44	Facility		$28.11	$36.61	$71.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $34.81 / $67.39	Professional		$25.81	$34.81	$67.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.75 / $144.75 / $144.75	Facility		$144.75	$144.75	$144.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $91.94 / $221.92	Professional		$48.39	$91.94	$221.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.79 / $44.26 / $59.60	Professional	26	$26.79	$44.26	$59.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.89 / $38.40 / $189.37	Professional	TC	$21.89	$38.40	$189.37
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $103.11 / $107.28	Professional		$103.11	$103.11	$107.28
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $48.56 / $56.29 / $64.11	Professional	26	$48.56	$56.29	$64.11
United Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $93.00 / $194.39	Professional		$53.14	$93.00	$194.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.23 / $37.13 / $59.18	Professional	26	$29.23	$37.13	$59.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.20 / $38.59 / $152.01	Professional	TC	$22.20	$38.59	$152.01