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 / $13.82	Facility	26	$10.56	$11.70	$13.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $33.28 / $90.00	Professional		$24.92	$33.28	$90.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $10.64 / $40.82	Professional	26	$7.33	$10.64	$40.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $22.64 / $35.64	Professional	TC	$17.57	$22.64	$35.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $51.59 / $51.59	Professional		$21.37	$51.59	$51.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $13.32 / $15.95	Professional	26	$8.00	$13.32	$15.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $33.86 / $33.86 / $33.86	Professional	TC	$33.86	$33.86	$33.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $40.51 / $45.01	Professional		$30.61	$40.51	$45.01
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 $21.39 / $28.31 / $31.45	Professional	TC	$21.39	$28.31	$31.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $22.20 / $35.26	Professional		$8.50	$22.20	$35.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $37.09 / $54.67	Professional		$25.58	$37.09	$54.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $11.56 / $16.98	Professional	26	$8.28	$11.56	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.47 / $24.41 / $39.17	Professional	TC	$16.47	$24.41	$39.17
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $59.33 / $59.33	Professional		$49.32	$59.33	$59.33
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $12.40 / $15.79 / $18.34	Professional	26	$12.40	$15.79	$18.34
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $38.94 / $38.94 / $38.94	Professional	TC	$38.94	$38.94	$38.94
United Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $31.43 / $55.25	Professional		$25.11	$31.43	$55.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $12.84 / $16.88	Professional	26	$8.44	$12.84	$16.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.53 / $21.66 / $38.21	Professional	TC	$16.53	$21.66	$38.21