Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.58 / $10.65 / $12.93	Facility	26	$10.58	$10.65	$12.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $34.27 / $60.18	Professional		$24.30	$34.27	$60.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $10.58 / $25.50	Professional	26	$7.03	$10.58	$25.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $22.23 / $42.63	Professional	TC	$18.82	$22.23	$42.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $42.89 / $48.03	Professional		$22.18	$42.89	$48.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $13.12 / $14.65	Professional	26	$6.25	$13.12	$14.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.13 / $29.13 / $29.13	Professional	TC	$29.13	$29.13	$29.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $39.04 / $43.38	Professional		$29.50	$39.04	$43.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $12.13 / $13.48	Professional	26	$9.17	$12.13	$13.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $26.91 / $29.90	Professional	TC	$20.32	$26.91	$29.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $24.15 / $36.69	Professional		$7.80	$24.15	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $39.10 / $55.70	Professional		$28.53	$39.10	$55.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $11.52 / $15.60	Professional	26	$7.61	$11.52	$15.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $25.80 / $39.44	Professional	TC	$19.98	$25.80	$39.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $49.32 / $55.23	Professional		$49.32	$49.32	$55.23
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $15.80 / $25.28	Professional	26	$10.53	$15.80	$25.28
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $33.42 / $56.41	Professional		$26.10	$33.42	$56.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $9.52 / $15.75	Professional	26	$7.79	$9.52	$15.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $23.66 / $41.58	Professional	TC	$18.29	$23.66	$41.58