Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.27 / $10.11 / $12.01	Facility	26	$9.27	$10.11	$12.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.95 / $19.36 / $23.23	Facility	TC	$16.95	$19.36	$23.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $27.06 / $36.06	Professional		$18.76	$27.06	$36.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.33 / $8.98 / $11.39	Professional	26	$6.33	$8.98	$11.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.43 / $16.95 / $24.66	Professional	TC	$11.43	$16.95	$24.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $35.74 / $35.74	Professional		$35.74	$35.74	$35.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $12.04 / $13.44	Professional	26	$8.43	$12.04	$13.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.50 / $20.50 / $20.50	Professional	TC	$20.50	$20.50	$20.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $31.97 / $35.52	Professional		$24.15	$31.97	$35.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $11.60 / $12.89	Professional	26	$8.77	$11.60	$12.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.39 / $20.37 / $22.63	Professional	TC	$15.39	$20.37	$22.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $14.04 / $24.35	Professional		$7.16	$14.04	$24.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $31.60 / $40.61	Professional		$21.83	$31.60	$40.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.05 / $10.94 / $14.85	Professional	26	$7.05	$10.94	$14.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.18 / $19.77 / $26.33	Professional	TC	$14.18	$19.77	$26.33
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $33.58 / $33.58	Professional		$33.58	$33.58	$33.58
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $13.31 / $13.85 / $15.46	Professional	26	$13.31	$13.85	$15.46
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $23.58 / $23.58 / $23.58	Professional	TC	$23.58	$23.58	$23.58
United Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $26.81 / $40.90	Professional		$19.96	$26.81	$40.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.02 / $8.94 / $15.08	Professional	26	$7.02	$8.94	$15.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.24 / $16.45 / $27.02	Professional	TC	$12.24	$16.45	$27.02