Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.16 / $11.55 / $16.43	Facility	26	$10.16	$11.55	$16.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $23.76 / $52.70	Professional		$18.96	$23.76	$52.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $10.60 / $46.00	Professional	26	$7.48	$10.60	$46.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.02 / $12.62 / $32.28	Professional	TC	$10.02	$12.62	$32.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $23.70 / $24.66	Professional	26	$8.43	$23.70	$24.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $22.71 / $25.23	Professional		$17.16	$22.71	$25.23
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 $8.34 / $11.03 / $12.26	Professional	TC	$8.34	$11.03	$12.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $27.42 / $48.54	Professional		$14.66	$27.42	$48.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $29.06 / $71.00	Professional		$20.05	$29.06	$71.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $12.58 / $29.33	Professional	26	$8.55	$12.58	$29.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.06 / $16.42 / $40.54	Professional	TC	$10.06	$16.42	$40.54
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $21.85 / $27.26 / $28.36	Professional	26	$21.85	$27.26	$28.36
United Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $41.49 / $77.83	Professional		$18.87	$41.49	$77.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $15.43 / $29.24	Professional	26	$7.81	$15.43	$29.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.61 / $26.88 / $46.70	Professional	TC	$11.61	$26.88	$46.70