Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $53.70 / $67.61	Facility	26	$52.48	$53.70	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $144.54	Professional		$53.70	$81.28	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $47.86 / $102.33	Professional	26	$33.11	$47.86	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.88 / $64.57	Professional	TC	$18.20	$33.88	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $154.88	Professional		$67.61	$79.43	$154.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $42.66 / $58.88	Professional	26	$35.48	$42.66	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $93.33	Professional		$70.79	$70.79	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $46.77 / $61.66	Professional	26	$46.77	$46.77	$61.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $23.99 / $32.36	Professional	TC	$23.99	$23.99	$32.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $97.72	Professional		$45.71	$53.70	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $144.54	Professional		$64.57	$97.72	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $63.10 / $93.33	Professional	26	$38.02	$63.10	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $32.36 / $63.10	Professional	TC	$22.39	$32.36	$63.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $190.55	Professional		$77.62	$109.65	$190.55
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $63.10 / $67.61	Professional	26	$63.10	$63.10	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $114.82	Professional		$61.66	$75.86	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $70.79	Professional	26	$37.15	$48.98	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $29.51 / $48.98	Professional	TC	$21.38	$29.51	$48.98