Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.72 / $13.94 / $19.21	Facility	26	$13.72	$13.94	$19.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $44.50 / $70.66	Professional		$34.40	$44.50	$70.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $13.72 / $28.05	Professional	26	$9.75	$13.72	$28.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $31.92 / $51.90	Professional	TC	$23.17	$31.92	$51.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $19.09 / $22.18	Professional	26	$17.60	$19.09	$22.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $53.39 / $59.32	Professional		$40.34	$53.39	$59.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.89 / $15.74 / $17.48	Professional	26	$11.89	$15.74	$17.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.44 / $37.65 / $41.83	Professional	TC	$28.44	$37.65	$41.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $29.37 / $47.41	Professional		$11.81	$29.37	$47.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $54.94 / $72.73	Professional		$37.71	$54.94	$72.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $15.39 / $23.63	Professional	26	$10.42	$15.39	$23.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.36 / $37.29 / $48.42	Professional	TC	$26.36	$37.29	$48.42
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $21.95 / $25.51	Professional	26	$20.23	$21.95	$25.51
United Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $42.37 / $73.63	Professional		$36.22	$42.37	$73.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $14.77 / $23.87	Professional	26	$10.25	$14.77	$23.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.26 / $30.96 / $51.20	Professional	TC	$25.26	$30.96	$51.20