Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.45 / $72.45 / $108.69	Facility	26	$72.45	$72.45	$108.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $95.33 / $150.38	Professional		$80.15	$95.33	$150.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.81 / $62.40 / $85.82	Professional	26	$45.81	$62.40	$85.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $28.11 / $44.03	Professional	TC	$22.87	$28.11	$44.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.87 / $144.24 / $191.36	Professional		$100.87	$144.24	$191.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $90.51 / $90.51 / $113.37	Professional	26	$90.51	$90.51	$113.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $105.24 / $111.43	Professional		$84.19	$105.24	$111.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.47 / $74.33 / $78.70	Professional	26	$59.47	$74.33	$78.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.72 / $30.91 / $32.72	Professional	TC	$24.72	$30.91	$32.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $61.50 / $114.89	Professional		$44.57	$61.50	$114.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $123.81 / $166.32	Professional		$82.86	$123.81	$166.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.13 / $80.84 / $108.30	Professional	26	$52.13	$80.84	$108.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.18 / $36.27 / $58.86	Professional	TC	$27.18	$36.27	$58.86
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $145.41 / $220.06	Professional		$116.00	$145.41	$220.06
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $55.20 / $86.08 / $130.38	Professional	26	$55.20	$86.08	$130.38
United Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $96.64 / $143.97	Professional		$73.44	$96.64	$143.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.03 / $66.40 / $102.73	Professional	26	$51.03	$66.40	$102.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.66 / $32.22 / $53.73	Professional	TC	$24.66	$32.22	$53.73