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 / $14.79	Facility	26	$10.96	$12.88	$14.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $53.70	Professional		$18.20	$26.92	$53.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $22.39	Professional	26	$6.03	$8.91	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $15.85 / $28.18	Professional	TC	$10.00	$15.85	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $43.65	Professional		$19.50	$23.99	$43.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $13.80 / $15.85	Professional	26	$6.92	$13.80	$15.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $12.02 / $25.70	Professional	TC	$12.02	$12.02	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $47.86	Professional		$32.36	$37.15	$47.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.48 / $14.45	Professional	26	$10.00	$11.48	$14.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $25.70 / $33.11	Professional	TC	$22.39	$25.70	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.49 / $29.51	Professional		$8.51	$13.49	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $53.70	Professional		$23.99	$38.90	$53.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.59 / $17.78	Professional	26	$8.32	$12.59	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $24.55 / $36.31	Professional	TC	$16.22	$24.55	$36.31
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $43.65	Professional		$37.15	$41.69	$43.65
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $15.85 / $18.20	Professional	26	$8.13	$15.85	$18.20
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	TC	$29.51	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $48.98	Professional		$24.55	$29.51	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.00 / $16.98	Professional	26	$8.13	$10.00	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $20.42 / $33.88	Professional	TC	$16.22	$20.42	$33.88