Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $64.36 / $97.51	Professional		$42.20	$64.36	$97.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.54 / $38.63 / $56.01	Professional	26	$24.54	$38.63	$56.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.66 / $25.73 / $29.70	Professional	TC	$17.66	$25.73	$29.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $75.65 / $75.65	Professional		$75.65	$75.65	$75.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $83.93 / $93.26	Professional		$63.42	$83.93	$93.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.02 / $51.64 / $57.38	Professional	26	$39.02	$51.64	$57.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.40 / $32.29 / $35.88	Professional	TC	$24.40	$32.29	$35.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $33.68 / $58.42	Professional		$23.27	$33.68	$58.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $74.66 / $95.96	Professional		$50.25	$74.66	$95.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.26 / $45.70 / $59.82	Professional	26	$30.26	$45.70	$59.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.94 / $28.36 / $36.58	Professional	TC	$18.94	$28.36	$36.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $87.00 / $87.00	Professional		$87.00	$87.00	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $60.07 / $88.06	Professional		$42.97	$60.07	$88.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.88 / $36.00 / $54.07	Professional	26	$25.88	$36.00	$54.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $23.80 / $33.77	Professional	TC	$17.39	$23.80	$33.77