Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.11 / $11.55 / $12.69	Facility	26	$10.11	$11.55	$12.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $32.00 / $132.25	Professional		$22.10	$32.00	$132.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $10.16 / $22.50	Professional	26	$7.03	$10.16	$22.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.00 / $114.00 / $114.00	Professional	50	$114.00	$114.00	$114.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.99 / $16.00 / $18.79	Professional	52	$10.99	$16.00	$18.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.16 / $21.83 / $38.65	Professional	TC	$18.16	$21.83	$38.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $41.78 / $41.78	Professional		$41.23	$41.78	$41.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $12.37 / $14.09	Professional	26	$5.75	$12.37	$14.09
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $42.89 / $42.89 / $42.89	Professional	TC	$42.89	$42.89	$42.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $36.25 / $40.28	Professional		$27.39	$36.25	$40.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $11.67 / $12.97	Professional	26	$8.82	$11.67	$12.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $24.58 / $27.31	Professional	TC	$18.57	$24.58	$27.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $20.23 / $31.84	Professional		$7.50	$20.23	$31.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $37.88 / $50.12	Professional		$25.79	$37.88	$50.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.38 / $11.08 / $15.01	Professional	26	$7.38	$11.08	$15.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $24.94 / $34.47	Professional	TC	$17.91	$24.94	$34.47
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $48.05 / $48.05	Professional		$38.74	$48.05	$48.05
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $13.95 / $16.20	Professional	26	$7.26	$13.95	$16.20
United Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $29.37 / $51.32	Professional		$25.05	$29.37	$51.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $11.62 / $15.15	Professional	26	$7.61	$11.62	$15.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.23 / $20.21 / $37.45	Professional	TC	$17.23	$20.21	$37.45