Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.39 / $8.77 / $10.74	Facility	26	$8.39	$8.77	$10.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.32 / $37.01 / $308.67	Facility	TC	$26.32	$37.01	$308.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $42.17 / $118.80	Professional		$25.13	$42.17	$118.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.83 / $8.77 / $31.43	Professional	26	$5.83	$8.77	$31.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.19 / $18.76 / $20.03	Professional	52	$14.19	$18.76	$20.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $28.74 / $64.04	Professional	TC	$22.57	$28.74	$64.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $55.98 / $62.43	Professional		$47.83	$55.98	$62.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.97 / $10.45 / $11.66	Professional	26	$4.97	$10.45	$11.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.84 / $36.84 / $45.53	Professional	TC	$36.84	$36.84	$45.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $44.91 / $49.90	Professional		$33.93	$44.91	$49.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $10.07 / $11.19	Professional	26	$7.61	$10.07	$11.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.32 / $34.84 / $38.71	Professional	TC	$26.32	$34.84	$38.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $31.00 / $44.48	Professional		$6.46	$31.00	$44.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $38.00 / $62.84	Professional		$26.07	$38.00	$62.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.38 / $9.56 / $12.93	Professional	26	$6.38	$9.56	$12.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.19 / $30.91 / $49.36	Professional	TC	$19.19	$30.91	$49.36
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $64.38 / $71.79	Professional		$55.00	$64.38	$71.79
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $12.50 / $13.96	Professional	26	$8.43	$12.50	$13.96
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $42.37 / $42.37 / $52.36	Professional	TC	$42.37	$42.37	$52.36
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $36.03 / $65.75	Professional		$25.20	$36.03	$65.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.20 / $7.47 / $13.06	Professional	26	$6.20	$7.47	$13.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $29.13 / $55.99	Professional	TC	$20.23	$29.13	$55.99