Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $169.70 / $224.13	Professional		$139.91	$169.70	$224.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $22.42 / $47.49	Professional	26	$19.70	$22.42	$47.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.11 / $149.58 / $172.98	Professional	TC	$108.11	$149.58	$172.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.96 / $23.96 / $24.60	Professional	26	$23.96	$23.96	$24.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $141.28 / $186.99	Professional		$22.75	$141.28	$186.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.79 / $30.34 / $37.92	Professional	26	$25.79	$30.34	$37.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $115.50 / $135.88 / $169.85	Professional	TC	$115.50	$135.88	$169.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $106.62 / $163.07	Professional		$21.25	$106.62	$163.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $164.03 / $278.92	Professional		$84.30	$164.03	$278.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $31.79 / $59.61	Professional	26	$11.20	$31.79	$59.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.83 / $132.29 / $235.35	Professional	TC	$54.83	$132.29	$235.35
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $27.55 / $27.55 / $28.29	Professional	26	$27.55	$27.55	$28.29
United Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $137.29 / $237.86	Professional		$95.63	$137.29	$237.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $25.98 / $60.70	Professional	26	$14.94	$25.98	$60.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.34 / $94.19 / $178.88	Professional	TC	$72.34	$94.19	$178.88