Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.28 / $20.28 / $24.83	Facility	26	$20.28	$20.28	$24.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $66.52 / $111.41	Professional		$49.24	$66.52	$111.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $17.75 / $27.40	Professional	26	$12.81	$17.75	$27.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.43 / $46.22 / $73.97	Professional	TC	$36.43	$46.22	$73.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $48.95 / $48.95	Professional		$48.95	$48.95	$48.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $23.70 / $24.18	Professional	26	$11.24	$23.70	$24.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $71.50 / $79.44	Professional		$54.02	$71.50	$79.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.99 / $21.16 / $23.51	Professional	26	$15.99	$21.16	$23.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.03 / $50.34 / $55.93	Professional	TC	$38.03	$50.34	$55.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $46.01 / $69.79	Professional		$14.66	$46.01	$69.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $74.15 / $111.93	Professional		$52.96	$74.15	$111.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.43 / $22.03 / $29.78	Professional	26	$14.43	$22.03	$29.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.86 / $52.21 / $79.27	Professional	TC	$37.86	$52.21	$79.27
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $19.39 / $23.76 / $27.81	Professional	26	$19.39	$23.76	$27.81
United Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $61.71 / $107.31	Professional		$52.70	$61.71	$107.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.62 / $18.48 / $29.62	Professional	26	$14.62	$18.48	$29.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.04 / $44.87 / $79.47	Professional	TC	$37.04	$44.87	$79.47