Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.73 / $16.73 / $20.48	Facility	26	$16.73	$16.73	$20.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $45.47 / $97.76	Professional		$33.92	$45.47	$97.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $16.73 / $43.62	Professional	26	$11.82	$16.73	$43.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $28.74 / $53.05	Professional	TC	$23.17	$28.74	$53.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.92 / $20.45 / $20.88	Professional	26	$13.92	$20.45	$20.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $49.56 / $55.07	Professional		$37.45	$49.56	$55.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $17.87 / $19.86	Professional	26	$13.50	$17.87	$19.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.94 / $31.69 / $35.21	Professional	TC	$23.94	$31.69	$35.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $30.03 / $48.56	Professional		$12.16	$30.03	$48.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $51.39 / $76.09	Professional		$36.71	$51.39	$76.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $18.14 / $25.16	Professional	26	$11.88	$18.14	$25.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.08 / $32.85 / $51.22	Professional	TC	$24.08	$32.85	$51.22
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $22.60 / $23.52 / $24.01	Professional	26	$22.60	$23.52	$24.01
United Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $44.03 / $74.30	Professional		$36.09	$44.03	$74.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $15.58 / $24.68	Professional	26	$12.10	$15.58	$24.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.21 / $29.24 / $51.32	Professional	TC	$23.21	$29.24	$51.32