Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.46 / $53.46 / $80.19	Facility	26	$53.46	$53.46	$80.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $74.31 / $103.25	Professional		$63.72	$74.31	$103.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.33 / $46.47 / $62.94	Professional	26	$34.33	$46.47	$62.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.85 / $24.34 / $40.29	Professional	TC	$20.85	$24.34	$40.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $92.85 / $154.75	Professional		$92.62	$92.85	$154.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.89 / $58.37 / $66.52	Professional	26	$56.89	$58.37	$66.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $88.64 / $93.85	Professional		$70.91	$88.64	$93.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.71 / $58.39 / $61.82	Professional	26	$46.71	$58.39	$61.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.20 / $30.25 / $32.03	Professional	TC	$24.20	$30.25	$32.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $45.61 / $93.16	Professional		$40.63	$45.61	$93.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $97.72 / $135.38	Professional		$67.48	$97.72	$135.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.38 / $62.25 / $79.80	Professional	26	$38.38	$62.25	$79.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.81 / $32.22 / $53.90	Professional	TC	$24.81	$32.22	$53.90
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $106.78 / $177.96	Professional		$90.82	$106.78	$177.96
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $65.42 / $67.13 / $76.50	Professional	26	$65.42	$67.13	$76.50
United Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $77.31 / $114.75	Professional		$62.59	$77.31	$114.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.60 / $50.72 / $75.64	Professional	26	$37.60	$50.72	$75.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.23 / $29.19 / $51.41	Professional	TC	$21.23	$29.19	$51.41