Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.56 / $11.70 / $13.93	Facility	26	$10.56	$11.70	$13.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $32.86 / $41.46	Professional		$25.80	$32.86	$41.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $10.25 / $13.18	Professional	26	$7.33	$10.25	$13.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $22.23 / $30.39	Professional	TC	$18.29	$22.23	$30.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $55.30 / $55.30	Professional		$55.30	$55.30	$55.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.29 / $14.29 / $15.60	Professional	26	$14.29	$14.29	$15.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $39.57 / $43.97	Professional		$29.90	$39.57	$43.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $12.20 / $13.56	Professional	26	$9.22	$12.20	$13.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.68 / $27.37 / $30.41	Professional	TC	$20.68	$27.37	$30.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $23.83 / $37.13	Professional		$8.50	$23.83	$37.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.74 / $55.18	Professional		$26.92	$37.74	$55.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $11.59 / $16.37	Professional	26	$8.22	$11.59	$16.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.79 / $24.55 / $38.82	Professional	TC	$17.79	$24.55	$38.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $63.60 / $63.60	Professional		$63.60	$63.60	$63.60
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $16.43 / $16.43 / $17.94	Professional	26	$16.43	$16.43	$17.94
United Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $31.73 / $56.61	Professional		$26.00	$31.73	$56.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.26 / $17.16	Professional	26	$7.94	$12.26	$17.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.23 / $22.92 / $40.93	Professional	TC	$17.23	$22.92	$40.93