Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.31 / $16.55 / $19.60	Facility	26	$15.31	$16.55	$19.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $44.32 / $61.24	Professional		$30.26	$44.32	$61.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $14.85 / $19.60	Professional	26	$9.36	$14.85	$19.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $28.33 / $45.40	Professional	TC	$22.44	$28.33	$45.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $57.18 / $57.18	Professional		$25.71	$57.18	$57.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $16.45 / $19.80	Professional	26	$7.66	$16.45	$19.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $31.96 / $39.27	Professional	TC	$20.43	$31.96	$39.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $52.73 / $58.59	Professional		$39.84	$52.73	$58.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.87 / $18.35 / $20.39	Professional	26	$13.87	$18.35	$20.39
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $34.38 / $38.20	Professional	TC	$25.98	$34.38	$38.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $26.76 / $42.46	Professional		$10.18	$26.76	$42.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $52.46 / $68.70	Professional		$35.51	$52.46	$68.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $17.28 / $22.77	Professional	26	$10.94	$17.28	$22.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.95 / $33.97 / $45.83	Professional	TC	$23.95	$33.97	$45.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $65.76 / $65.76	Professional		$65.76	$65.76	$65.76
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $18.92 / $19.69	Professional	26	$9.84	$18.92	$19.69
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $23.49 / $36.75 / $45.16	Professional	TC	$23.49	$36.75	$45.16
United Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $44.60 / $69.37	Professional		$34.45	$44.60	$69.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $13.86 / $21.62	Professional	26	$10.74	$13.86	$21.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.30 / $29.96 / $47.30	Professional	TC	$23.30	$29.96	$47.30