Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $52.71 / $95.54	Professional		$46.52	$52.71	$95.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.31 / $33.32 / $55.18	Professional	26	$29.31	$33.32	$55.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.21 / $19.39 / $25.36	Professional	TC	$17.21	$19.39	$25.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Professional		$56.40	$56.40	$56.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.78 / $35.79 / $41.48	Professional	26	$35.78	$35.79	$41.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $63.77 / $79.70	Professional		$47.83	$63.77	$79.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.38 / $43.17 / $53.96	Professional	26	$32.38	$43.17	$53.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.45 / $20.60 / $25.75	Professional	TC	$15.45	$20.60	$25.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $31.66 / $49.82	Professional		$18.16	$31.66	$49.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $53.82 / $91.64	Professional		$25.13	$53.82	$91.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.35 / $34.79 / $56.95	Professional	26	$16.35	$34.79	$56.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.61 / $16.93 / $31.05	Professional	TC	$9.61	$16.93	$31.05
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $64.86	Professional		$64.86	$64.86	$64.86
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $41.15 / $41.16 / $47.70	Professional	26	$41.15	$41.16	$47.70
United Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $45.62 / $74.13	Professional		$28.78	$45.62	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.38 / $30.03 / $48.79	Professional	26	$19.38	$30.03	$48.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.19 / $13.07 / $25.34	Professional	TC	$10.19	$13.07	$25.34