Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $52.48 / $60.26	Facility	26	$40.74	$52.48	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $407.38	Professional		$223.87	$302.00	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $53.70 / $104.71	Professional	26	$33.11	$53.70	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $269.15 / $354.81	Professional	TC	$194.98	$269.15	$354.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $46.77 / $61.66	Professional	26	$27.54	$46.77	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $524.81	Professional		$354.81	$407.38	$524.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $50.12 / $64.57	Professional	26	$43.65	$50.12	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $354.81 / $457.09	Professional	TC	$309.03	$354.81	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $524.81 / $602.56	Professional		$83.18	$524.81	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $575.44	Professional		$229.09	$380.19	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $52.48 / $75.86	Professional	26	$38.02	$52.48	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $338.84 / $512.86	Professional	TC	$181.97	$338.84	$512.86
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $67.61 / $77.62	Professional	26	$57.54	$67.61	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $549.54	Professional		$204.17	$302.00	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $39.81 / $70.79	Professional	26	$34.67	$39.81	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $263.03 / $478.63	Professional	TC	$199.53	$263.03	$478.63