Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.19 / $14.93 / $17.92	Facility	26	$14.19	$14.93	$17.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $47.81 / $72.81	Professional		$35.67	$47.81	$72.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $14.03 / $19.57	Professional	26	$9.74	$14.03	$19.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.65 / $36.57 / $60.00	Professional	TC	$25.65	$36.57	$60.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $17.62 / $19.67	Professional	26	$7.83	$17.62	$19.67
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $22.44 / $22.44	Professional	TC	$22.44	$22.44	$22.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $59.41 / $66.01	Professional		$44.89	$59.41	$66.01
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 $32.22 / $42.64 / $47.38	Professional	TC	$32.22	$42.64	$47.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $29.37 / $45.83	Professional		$10.48	$29.37	$45.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $58.97 / $79.13	Professional		$38.83	$58.97	$79.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $16.18 / $20.96	Professional	26	$10.25	$16.18	$20.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.83 / $40.47 / $53.08	Professional	TC	$27.83	$40.47	$53.08
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $9.00 / $20.26 / $22.62	Professional	26	$9.00	$20.26	$22.62
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $50.31 / $74.77	Professional		$37.04	$50.31	$74.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $12.66 / $21.16	Professional	26	$10.61	$12.66	$21.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.51 / $36.56 / $53.40	Professional	TC	$26.51	$36.56	$53.40