Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $10.01 / $12.20	Facility	26	$9.67	$10.01	$12.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $26.24 / $39.56	Professional		$19.78	$26.24	$39.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.63 / $9.71 / $17.45	Professional	26	$6.63	$9.71	$17.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.15 / $16.54 / $28.72	Professional	TC	$13.15	$16.54	$28.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $33.54 / $33.54	Professional		$33.54	$33.54	$33.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $12.37 / $14.09	Professional	26	$6.31	$12.37	$14.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $31.05 / $34.50	Professional		$23.46	$31.05	$34.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.42 / $11.14 / $12.38	Professional	26	$8.42	$11.14	$12.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $19.91 / $22.12	Professional	TC	$15.04	$19.91	$22.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $16.32 / $27.36	Professional		$7.50	$16.32	$27.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $32.44 / $44.98	Professional		$21.99	$32.44	$44.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $10.57 / $15.01	Professional	26	$7.23	$10.57	$15.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.23 / $20.25 / $29.32	Professional	TC	$14.23	$20.25	$29.32
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Professional		$38.57	$38.57	$38.57
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $14.23 / $16.20	Professional	26	$7.26	$14.23	$16.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $24.90 / $43.77	Professional		$21.65	$24.90	$43.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $9.38 / $15.21	Professional	26	$7.39	$9.38	$15.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $16.36 / $29.23	Professional	TC	$14.13	$16.36	$29.23