Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.99 / $12.81 / $15.97	Facility	26	$10.99	$12.81	$15.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $41.76 / $55.82	Professional		$30.51	$41.76	$55.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $10.78 / $13.63	Professional	26	$7.17	$10.78	$13.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $15.14 / $15.14 / $15.14	Professional	50	$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $30.22 / $52.64	Professional	TC	$22.26	$30.22	$52.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $31.42 / $31.42	Professional		$31.42	$31.42	$31.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.10 / $13.36 / $14.99	Professional	26	$6.10	$13.36	$14.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $45.53 / $45.53 / $45.53	Professional	TC	$45.53	$45.53	$45.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $51.28 / $56.98	Professional		$38.75	$51.28	$56.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $12.99 / $14.43	Professional	26	$9.81	$12.99	$14.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.93 / $38.29 / $42.55	Professional	TC	$28.93	$38.29	$42.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $31.00 / $44.89	Professional		$8.10	$31.00	$44.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $43.67 / $68.42	Professional		$31.17	$43.67	$68.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $12.92 / $16.20	Professional	26	$8.23	$12.92	$16.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.92 / $31.73 / $48.01	Professional	TC	$20.92	$31.73	$48.01
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $15.67 / $17.48	Professional	26	$15.05	$15.67	$17.48
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $52.36 / $52.36 / $52.36	Professional	TC	$52.36	$52.36	$52.36
United Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $39.51 / $70.81	Professional		$28.88	$39.51	$70.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.76 / $17.05	Professional	26	$8.30	$10.76	$17.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.35 / $30.32 / $54.04	Professional	TC	$19.35	$30.32	$54.04