Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.08 / $80.08 / $100.56	Facility	26	$80.08	$80.08	$100.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $266.20 / $659.60	Professional		$205.22	$266.20	$659.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.49 / $80.08 / $184.32	Professional	26	$56.49	$80.08	$184.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.30 / $180.39 / $261.07	Professional	TC	$136.30	$180.39	$261.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $98.96 / $98.96 / $98.96	Professional	26	$98.96	$98.96	$98.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.37 / $318.13 / $318.13	Professional		$240.37	$318.13	$318.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.94 / $92.57 / $92.57	Professional	26	$69.94	$92.57	$92.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.42 / $225.56 / $225.56	Professional	TC	$170.42	$225.56	$225.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $151.74 / $265.39	Professional		$59.41	$151.74	$265.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.15 / $325.29 / $464.98	Professional		$233.15	$325.29	$464.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.47 / $96.63 / $138.41	Professional	26	$66.47	$96.63	$138.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $153.37 / $219.97 / $338.02	Professional	TC	$153.37	$219.97	$338.02
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $95.01 / $95.01 / $113.80	Professional	26	$95.01	$95.01	$113.80
United Facility/Professional Professional Modifier Low / Median / High Price $199.27 / $260.63 / $410.90	Professional		$199.27	$260.63	$410.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.52 / $83.72 / $128.08	Professional	26	$57.52	$83.72	$128.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.46 / $177.73 / $304.39	Professional	TC	$131.46	$177.73	$304.39