Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.86 / $11.92 / $14.59	Facility	26	$9.86	$11.92	$14.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.45 / $35.15 / $321.64	Facility	TC	$23.45	$35.15	$321.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $35.36 / $109.23	Professional		$24.80	$35.36	$109.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $11.74 / $24.40	Professional	26	$8.11	$11.74	$24.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.02 / $23.44 / $36.70	Professional	TC	$18.02	$23.44	$36.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $49.15 / $49.15	Professional		$49.15	$49.15	$49.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $14.80 / $15.85	Professional	26	$7.74	$14.80	$15.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $37.75 / $41.94	Professional		$28.52	$37.75	$41.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $12.44 / $13.82	Professional	26	$9.40	$12.44	$13.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.12 / $25.31 / $28.12	Professional	TC	$19.12	$25.31	$28.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $23.83 / $37.49	Professional		$8.80	$23.83	$37.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $39.14 / $58.34	Professional		$28.23	$39.14	$58.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $12.95 / $17.59	Professional	26	$8.63	$12.95	$17.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.96 / $26.10 / $40.33	Professional	TC	$18.96	$26.10	$40.33
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $56.52 / $56.52	Professional		$56.52	$56.52	$56.52
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $16.68 / $18.98	Professional	26	$11.37	$16.68	$18.98
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $29.44 / $29.44 / $29.44	Professional	TC	$29.44	$29.44	$29.44
United Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $38.28 / $57.16	Professional		$27.48	$38.28	$57.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $10.99 / $17.76	Professional	26	$8.77	$10.99	$17.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.26 / $22.56 / $40.28	Professional	TC	$18.26	$22.56	$40.28