Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.98 / $9.28 / $10.75	Facility	26	$7.98	$9.28	$10.75
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.67 / $27.44 / $129.08	Facility	TC	$24.67	$27.44	$129.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $33.04 / $92.70	Professional		$22.13	$33.04	$92.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $8.36 / $26.35	Professional	26	$5.53	$8.36	$26.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $24.67 / $38.40	Professional	TC	$17.89	$24.67	$38.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $42.89 / $42.89	Professional		$42.89	$42.89	$42.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.73 / $9.97 / $10.45	Professional	26	$4.73	$9.97	$10.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.44 / $32.44 / $32.53	Professional	TC	$32.44	$32.44	$32.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $38.38 / $42.64	Professional		$29.00	$38.38	$42.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $9.59 / $10.66	Professional	26	$7.25	$9.59	$10.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.75 / $28.78 / $31.98	Professional	TC	$21.75	$28.78	$31.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $22.20 / $32.49	Professional		$6.16	$22.20	$32.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $35.84 / $49.82	Professional		$24.46	$35.84	$49.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $9.08 / $12.34	Professional	26	$6.17	$9.08	$12.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $25.39 / $39.17	Professional	TC	$18.19	$25.39	$39.17
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $49.32 / $49.32	Professional		$49.32	$49.32	$49.32
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $11.70 / $13.32	Professional	26	$9.98	$11.70	$13.32
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $37.31 / $37.31 / $37.31	Professional	TC	$37.31	$37.31	$37.31
United Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $28.67 / $51.32	Professional		$24.50	$28.67	$51.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.21 / $7.40 / $12.46	Professional	26	$6.21	$7.40	$12.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.29 / $22.17 / $38.65	Professional	TC	$18.29	$22.17	$38.65