Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $135.60 / $470.68	Facility		$23.57	$135.60	$470.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.98 / $11.50 / $26.04	Facility	26	$8.98	$11.50	$26.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $12.06 / $162.19 / $308.67	Facility	TC	$12.06	$162.19	$308.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.58 / $45.67	Professional		$17.78	$23.58	$45.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $11.51 / $39.06	Professional	26	$7.88	$11.51	$39.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.74 / $12.06 / $25.85	Professional	TC	$9.74	$12.06	$25.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Professional		$38.57	$38.57	$38.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $14.01 / $15.31	Professional	26	$9.52	$14.01	$15.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.70 / $24.83 / $24.83	Professional	TC	$13.70	$24.83	$24.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.62 / $76.62 / $83.36	Facility		$76.62	$76.62	$83.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $31.55 / $35.06	Professional		$23.84	$31.55	$35.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $12.40 / $13.78	Professional	26	$9.36	$12.40	$13.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.47 / $19.14 / $21.28	Professional	TC	$14.47	$19.14	$21.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $19.93 / $32.02	Facility		$8.22	$19.93	$32.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $16.97 / $29.29	Professional		$8.50	$16.97	$29.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $100.68 / $161.54	Facility		$17.30	$100.68	$161.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $27.85 / $45.99	Professional		$19.77	$27.85	$45.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $12.46 / $16.98	Professional	26	$8.05	$12.46	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $14.91 / $26.54	Professional	TC	$10.47	$14.91	$26.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $44.36	Professional		$44.36	$44.36	$44.36
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $13.65 / $16.43 / $18.34	Professional	26	$13.65	$16.43	$18.34
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $15.76 / $28.55 / $28.55	Professional	TC	$15.76	$28.55	$28.55
United Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $27.59 / $46.47	Professional		$19.22	$27.59	$46.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $10.87 / $17.16	Professional	26	$8.61	$10.87	$17.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.08 / $16.26 / $29.88	Professional	TC	$10.08	$16.26	$29.88