Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.19 / $15.16 / $17.92	Facility	26	$14.19	$15.16	$17.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $39.68 / $58.21	Professional		$28.34	$39.68	$58.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $14.18 / $24.70	Professional	26	$9.30	$14.18	$24.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.39 / $25.92 / $42.63	Professional	TC	$21.39	$25.92	$42.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $57.22 / $57.22	Professional		$57.22	$57.22	$57.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $16.54 / $18.88	Professional	26	$8.27	$16.54	$18.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.42 / $18.42 / $18.42	Professional	TC	$18.42	$18.42	$18.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $46.91 / $52.12	Professional		$35.44	$46.91	$52.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $16.77 / $18.63	Professional	26	$12.67	$16.77	$18.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.77 / $30.14 / $33.49	Professional	TC	$22.77	$30.14	$33.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $24.15 / $39.08	Professional		$9.83	$24.15	$39.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $47.41 / $64.95	Professional		$32.54	$47.41	$64.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.17 / $15.90 / $20.83	Professional	26	$10.17	$15.90	$20.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $31.04 / $40.06	Professional	TC	$21.94	$31.04	$40.06
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $65.80 / $65.80	Professional		$65.80	$65.80	$65.80
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $19.02 / $21.51	Professional	26	$9.51	$19.02	$21.51
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $38.11 / $62.37	Professional		$32.22	$38.11	$62.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $12.15 / $20.14	Professional	26	$10.31	$12.15	$20.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $24.19 / $42.23	Professional	TC	$21.58	$24.19	$42.23