Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $676.08	Professional		$61.66	$100.00	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $77.62 / $302.00	Professional	26	$19.05	$77.62	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $47.86 / $89.13	Professional	TC	$42.66	$47.86	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $100.00	Professional		$43.65	$83.18	$100.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.50 / $33.11	Professional	26	$12.88	$19.50	$33.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $36.31 / $64.57	Professional	TC	$36.31	$36.31	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $114.82	Professional		$75.86	$87.10	$114.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $28.84 / $38.90	Professional	26	$28.84	$28.84	$38.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $57.54 / $75.86	Professional	TC	$57.54	$57.54	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $58.88 / $95.50	Facility		$26.30	$58.88	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $54.95 / $83.18	Professional		$25.12	$54.95	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $69.18 / $134.90	Professional		$31.62	$69.18	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $23.99 / $45.71	Professional	26	$10.72	$23.99	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $47.86 / $89.13	Professional	TC	$20.89	$47.86	$89.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $120.23	Professional		$95.50	$95.50	$120.23
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $33.88 / $38.90	Professional	26	$33.11	$33.88	$38.90
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	TC	$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $109.65	Professional		$36.31	$57.54	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $19.95 / $38.02	Professional	26	$12.59	$19.95	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $37.15 / $70.79	Professional	TC	$23.99	$37.15	$70.79