Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $45.71 / $56.23	Facility	26	$38.02	$45.71	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $398.11	Professional		$218.78	$316.23	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $47.86 / $114.82	Professional	26	$28.84	$47.86	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $281.84 / $354.81	Professional	TC	$194.98	$281.84	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $32.36 / $57.54	Professional	26	$25.70	$32.36	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $467.74	Professional		$316.23	$363.08	$467.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $42.66 / $54.95	Professional	26	$38.02	$42.66	$54.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $323.59 / $416.87	Professional	TC	$281.84	$323.59	$416.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $512.86 / $588.84	Professional		$77.62	$512.86	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $575.44	Professional		$288.40	$416.87	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $48.98 / $70.79	Professional	26	$35.48	$48.98	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $371.54 / $501.19	Professional	TC	$251.19	$371.54	$501.19
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $63.10 / $67.61	Professional	26	$54.95	$63.10	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $549.54	Professional		$295.12	$346.74	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $40.74 / $66.07	Professional	26	$32.36	$40.74	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $302.00 / $478.63	Professional	TC	$257.04	$302.00	$478.63