Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $12.88 / $16.98	Facility	26	$10.96	$12.88	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $97.72	Professional		$25.70	$37.15	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $30.90	Professional	26	$7.08	$12.02	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.70 / $50.12	Professional	TC	$18.62	$25.70	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $75.86	Professional		$22.91	$30.90	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $17.78	Professional	26	$7.94	$12.02	$17.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $29.51 / $41.69	Professional	TC	$22.91	$29.51	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $40.74 / $52.48	Professional		$35.48	$40.74	$52.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.02 / $15.14	Professional	26	$10.47	$12.02	$15.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $28.84 / $36.31	Professional	TC	$25.12	$28.84	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $30.20 / $57.54	Professional		$10.47	$30.20	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $74.13	Professional		$32.36	$48.98	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.13 / $21.88	Professional	26	$9.33	$14.13	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $48.98	Professional	TC	$22.91	$32.36	$48.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.22 / $22.91	Professional	26	$13.80	$16.22	$22.91
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $34.67 / $47.86	Professional	TC	$33.88	$34.67	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $67.61	Professional		$33.11	$38.90	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.30 / $21.38	Professional	26	$9.33	$12.30	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $26.92 / $45.71	Professional	TC	$22.91	$26.92	$45.71