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 $27.54 / $41.69 / $128.82	Professional		$27.54	$41.69	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $34.67	Professional	26	$7.94	$10.96	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.90 / $56.23	Professional	TC	$19.95	$30.90	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $66.07	Professional		$30.20	$51.29	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $17.78 / $19.50	Professional	26	$8.32	$17.78	$19.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $53.70	Professional	TC	$21.88	$39.81	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $66.07	Professional		$44.67	$51.29	$66.07
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 $32.36 / $37.15 / $47.86	Professional	TC	$32.36	$37.15	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $31.62 / $60.26	Professional		$10.47	$31.62	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $81.28	Professional		$36.31	$58.88	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.49 / $22.91	Professional	26	$10.23	$15.49	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $40.74 / $54.95	Professional	TC	$26.30	$40.74	$54.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $63.10 / $69.18	Professional		$58.88	$63.10	$69.18
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $21.38 / $22.39	Professional	26	$19.95	$21.38	$22.39
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $45.71 / $61.66	Professional	TC	$40.74	$45.71	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $72.44	Professional		$35.48	$47.86	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.59 / $21.38	Professional	26	$10.00	$12.59	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.88 / $53.70	Professional	TC	$24.55	$33.88	$53.70