Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $162.18	Professional		$63.10	$83.18	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $75.86 / $398.11	Professional	26	$45.71	$75.86	$398.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $51.29	Professional	TC	$21.88	$30.20	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $28.18 / $28.18	Professional	26	$28.18	$28.18	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $134.90	Professional		$85.11	$134.90	$134.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	26	$95.50	$95.50	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $72.44 / $131.83	Professional		$33.11	$72.44	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $89.13 / $194.98	Professional		$43.65	$89.13	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $63.10 / $229.09	Professional	26	$30.90	$63.10	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $25.12 / $67.61	Professional	TC	$13.49	$25.12	$67.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $218.78	Professional		$77.62	$112.20	$218.78
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $75.86 / $208.93	Professional	26	$51.29	$75.86	$208.93
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.90 / $67.61	Professional	TC	$25.70	$38.90	$67.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $123.03	Professional		$41.69	$87.10	$123.03
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $31.62 / $81.28	Professional	26	$25.70	$31.62	$81.28
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $19.05 / $42.66	Professional	TC	$12.30	$19.05	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $128.82	Professional		$54.95	$91.20	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $60.26 / $91.20	Professional	26	$38.02	$60.26	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $28.18 / $45.71	Professional	TC	$16.60	$28.18	$45.71