Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $74.79 / $117.93	Professional		$51.08	$74.79	$117.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $25.12 / $52.81	Professional	26	$20.38	$25.12	$52.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.77 / $50.20 / $83.76	Professional	TC	$38.77	$50.20	$83.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.21 / $27.57	Professional	26	$10.23	$12.21	$27.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.89 / $141.18	Professional		$32.36	$83.89	$141.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $34.61 / $34.61	Professional	26	$34.61	$34.61	$34.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.92 / $57.92 / $57.92	Professional	TC	$57.92	$57.92	$57.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $60.87 / $106.44	Facility		$24.55	$60.87	$106.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $51.13 / $107.77	Professional		$20.46	$51.13	$107.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $63.51 / $101.70	Professional		$30.13	$63.51	$101.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $20.72 / $75.47	Professional	26	$9.86	$20.72	$75.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $34.54 / $65.69	Professional	TC	$18.19	$34.54	$65.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $68.56 / $117.00	Professional		$59.14	$68.56	$117.00
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $20.38 / $23.19 / $52.81	Professional	26	$20.38	$23.19	$52.81
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $38.77 / $47.71 / $77.54	Professional	TC	$38.77	$47.71	$77.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $47.40 / $75.50	Professional		$28.12	$47.40	$75.50
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $63.51 / $98.33	Professional		$37.90	$63.51	$98.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $23.08 / $38.08	Professional	26	$14.08	$23.08	$38.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $39.70 / $60.04	Professional	TC	$23.82	$39.70	$60.04