Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.58 / $37.58 / $56.37	Facility	26	$37.58	$37.58	$56.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $106.50 / $126.62	Professional		$72.25	$106.50	$126.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.84 / $29.44 / $43.80	Professional	26	$19.84	$29.44	$43.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.41 / $78.81 / $89.28	Professional	TC	$52.41	$78.81	$89.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $156.22 / $159.35	Professional		$156.22	$156.22	$159.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.79 / $45.85 / $50.13	Professional	26	$20.79	$45.85	$50.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $131.91 / $146.58	Professional		$99.67	$131.91	$146.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $39.17 / $43.52	Professional	26	$29.59	$39.17	$43.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $70.08 / $92.75 / $103.06	Professional	TC	$70.08	$92.75	$103.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $75.72 / $130.19	Professional		$27.81	$75.72	$130.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $136.81 / $190.25	Professional		$84.67	$136.81	$190.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $40.54 / $55.39	Professional	26	$24.07	$40.54	$55.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.27 / $96.20 / $134.85	Professional	TC	$60.27	$96.20	$134.85
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $24.07 / $53.74 / $60.06	Professional	26	$24.07	$53.74	$60.06
United Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $120.00 / $181.52	Professional		$91.92	$120.00	$181.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.25 / $34.42 / $54.41	Professional	26	$27.25	$34.42	$54.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.31 / $83.80 / $128.41	Professional	TC	$64.31	$83.80	$128.41