Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $128.18 / $233.32	Professional		$109.24	$128.18	$233.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.64 / $33.71 / $54.25	Professional	26	$29.64	$33.71	$54.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.34 / $97.95 / $146.74	Professional	TC	$63.34	$97.95	$146.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $32.17 / $32.17 / $37.32	Professional	26	$32.17	$32.17	$37.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $102.85 / $136.13	Professional		$32.58	$102.85	$136.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.92 / $43.44 / $54.30	Professional	26	$36.92	$43.44	$54.30
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $65.93 / $77.56 / $96.95	Professional	TC	$65.93	$77.56	$96.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $80.26 / $122.79	Professional		$32.18	$80.26	$122.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $99.64 / $175.33	Professional		$45.83	$99.64	$175.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.00 / $43.30 / $67.38	Professional	26	$20.00	$43.30	$67.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $54.84 / $113.10	Professional	TC	$25.37	$54.84	$113.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $141.99	Professional		$141.99	$141.99	$141.99
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $37.00 / $42.92 / $48.46	Professional	26	$37.00	$42.92	$48.46
United Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $79.16 / $128.47	Professional		$57.61	$79.16	$128.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.53 / $30.97 / $60.37	Professional	26	$21.53	$30.97	$60.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.88 / $47.61 / $90.95	Professional	TC	$34.88	$47.61	$90.95