Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.86 / $12.75 / $17.10	Facility	26	$11.86	$12.75	$17.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $38.69 / $66.17	Professional		$31.42	$38.69	$66.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $11.98 / $28.94	Professional	26	$8.22	$11.98	$28.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.08 / $26.71 / $38.97	Professional	TC	$22.08	$26.71	$38.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $17.01 / $19.76	Professional	26	$9.89	$17.01	$19.76
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.13 / $35.74 / $41.20	Professional	TC	$30.13	$35.74	$41.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $46.72 / $51.91	Professional		$35.29	$46.72	$51.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.38 / $13.73 / $15.26	Professional	26	$10.38	$13.73	$15.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $32.99 / $36.65	Professional	TC	$24.92	$32.99	$36.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $28.07 / $44.36	Professional		$10.52	$28.07	$44.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $48.71 / $68.19	Professional		$34.83	$48.71	$68.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $13.09 / $21.06	Professional	26	$9.25	$13.09	$21.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $32.50 / $45.64	Professional	TC	$23.77	$32.50	$45.64
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $19.55 / $22.72	Professional	26	$13.95	$19.55	$22.72
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $34.65 / $34.65 / $41.10	Professional	TC	$34.65	$34.65	$41.10
United Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $40.52 / $68.93	Professional		$33.00	$40.52	$68.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $13.54 / $21.28	Professional	26	$9.42	$13.54	$21.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.24 / $27.38 / $48.08	Professional	TC	$23.24	$27.38	$48.08