Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.79 / $13.78 / $17.10	Facility	26	$11.79	$13.78	$17.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $40.90 / $70.16	Professional		$34.17	$40.90	$70.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $13.77 / $23.12	Professional	26	$9.41	$13.77	$23.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.08 / $28.03 / $42.10	Professional	TC	$22.08	$28.03	$42.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $64.91 / $64.91	Professional		$52.79	$64.91	$64.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $17.04 / $17.69	Professional	26	$8.85	$17.04	$17.69
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.20 / $41.20 / $41.20	Professional	TC	$41.20	$41.20	$41.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $48.80 / $54.22	Professional		$36.86	$48.80	$54.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $15.81 / $17.57	Professional	26	$11.95	$15.81	$17.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $32.99 / $36.65	Professional	TC	$24.92	$32.99	$36.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $28.07 / $44.36	Professional		$10.52	$28.07	$44.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $52.67 / $70.87	Professional		$35.01	$52.67	$70.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $15.02 / $21.06	Professional	26	$10.30	$15.02	$21.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.74 / $33.90 / $46.26	Professional	TC	$24.74	$33.90	$46.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $60.71 / $74.65	Professional		$60.71	$60.71	$74.65
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $16.02 / $19.60 / $20.34	Professional	26	$16.02	$19.60	$20.34
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $47.38 / $47.38 / $47.38	Professional	TC	$47.38	$47.38	$47.38
United Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $39.57 / $69.56	Professional		$34.65	$39.57	$69.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $14.30 / $21.53	Professional	26	$10.36	$14.30	$21.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.55 / $29.78 / $48.95	Professional	TC	$23.55	$29.78	$48.95