Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $12.02 / $14.79	Facility	26	$10.23	$12.02	$14.79
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $23.44 / $37.15	Facility	TC	$23.44	$23.44	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $81.28	Professional		$20.89	$30.90	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.12 / $23.44	Professional	26	$7.08	$9.12	$23.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $34.67	Professional	TC	$15.14	$20.89	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $51.29	Professional		$24.55	$38.02	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.96 / $15.85	Professional	26	$6.76	$10.96	$15.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $22.39 / $36.31	Professional	TC	$17.78	$22.39	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $41.69	Professional		$28.84	$32.36	$41.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.72 / $13.80	Professional	26	$9.33	$10.72	$13.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $21.88 / $28.18	Professional	TC	$19.05	$21.88	$28.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $25.70 / $48.98	Professional		$8.71	$25.70	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $61.66	Professional		$28.18	$38.90	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.88 / $19.50	Professional	26	$8.71	$12.88	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $26.30 / $43.65	Professional	TC	$18.62	$26.30	$43.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $58.88	Professional		$30.20	$47.86	$58.88
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $16.98 / $19.05	Professional	26	$9.12	$16.98	$19.05
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.70 / $46.77	Professional	TC	$20.42	$25.70	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $57.54	Professional		$27.54	$32.36	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $10.47 / $17.78	Professional	26	$8.51	$10.47	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.39 / $38.90	Professional	TC	$18.20	$22.39	$38.90