Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $19.95 / $24.55	Facility	26	$14.13	$19.95	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $154.88	Professional		$38.90	$57.54	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $19.05 / $38.02	Professional	26	$10.00	$19.05	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $39.81 / $85.11	Professional	TC	$28.18	$39.81	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $87.10	Professional		$33.11	$41.69	$87.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.75 / $21.88	Professional	26	$9.55	$11.75	$21.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $36.31 / $64.57	Professional	TC	$28.84	$36.31	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $75.86	Professional		$52.48	$60.26	$75.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $19.95 / $25.12	Professional	26	$17.38	$19.95	$25.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $39.81 / $51.29	Professional	TC	$34.67	$39.81	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $41.69 / $79.43	Professional		$12.59	$41.69	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $97.72	Professional		$45.71	$70.79	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $20.89 / $28.18	Professional	26	$13.18	$20.89	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $47.86 / $67.61	Professional	TC	$32.36	$47.86	$67.61
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $100.00	Professional		$70.79	$89.13	$100.00
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $23.44 / $27.54	Professional	26	$19.50	$23.44	$27.54
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $48.98 / $74.13	Professional	TC	$33.88	$48.98	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $89.13	Professional		$43.65	$53.70	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.49 / $26.92	Professional	26	$11.75	$15.49	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $37.15 / $64.57	Professional	TC	$30.90	$37.15	$64.57