Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $144.54	Professional		$87.10	$109.65	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $79.43 / $120.23	Professional	26	$67.61	$79.43	$120.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $38.90	Professional	TC	$19.05	$30.20	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $120.23	Professional		$91.20	$95.50	$120.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Professional	26	$70.79	$70.79	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $165.96	Professional		$112.20	$154.88	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	26	$120.23	$120.23	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $70.79 / $97.72	Professional		$24.55	$70.79	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $457.09	Professional		$79.43	$102.33	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $75.86 / $323.59	Professional	26	$57.54	$75.86	$323.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $26.30 / $125.89	Professional	TC	$20.89	$26.30	$125.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $151.36	Professional		$93.33	$123.03	$151.36
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $89.13 / $114.82	Professional	26	$70.79	$89.13	$114.82
Health Alliance Plan Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $30.90 / $38.90	Professional	TC	$19.50	$30.90	$38.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $380.19	Professional		$77.62	$89.13	$380.19
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $69.18 / $275.42	Professional	26	$54.95	$69.18	$275.42
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $104.71	Professional	TC	$16.98	$22.91	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $141.25	Professional		$91.20	$112.20	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $85.11 / $109.65	Professional	26	$69.18	$85.11	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $24.55 / $35.48	Professional	TC	$17.38	$24.55	$35.48