Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $15.85 / $17.78	Facility	26	$14.13	$15.85	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $81.28	Professional		$22.91	$36.31	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.23 / $24.55	Professional	26	$7.94	$10.23	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.12 / $34.67	Professional	TC	$16.22	$25.12	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $63.10	Professional		$21.38	$30.90	$63.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $14.45 / $17.38	Professional	26	$7.41	$14.45	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $26.92 / $39.81	Professional	TC	$17.38	$26.92	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $40.74 / $52.48	Professional		$35.48	$40.74	$52.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $14.45 / $18.62	Professional	26	$12.59	$14.45	$18.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $26.30 / $33.11	Professional	TC	$22.91	$26.30	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $21.88 / $42.66	Professional		$9.77	$21.88	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $67.61	Professional		$30.90	$48.98	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.49 / $21.88	Professional	26	$10.23	$15.49	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $31.62 / $44.67	Professional	TC	$21.38	$31.62	$44.67
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $69.18	Professional		$50.12	$50.12	$69.18
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $18.62 / $21.88	Professional	26	$16.98	$18.62	$21.88
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $30.90 / $45.71	Professional	TC	$30.90	$30.90	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $61.66	Professional		$30.90	$36.31	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.02 / $20.42	Professional	26	$9.77	$12.02	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $23.99 / $41.69	Professional	TC	$20.42	$23.99	$41.69