Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $11.75 / $23.99	Facility	26	$10.00	$11.75	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $34.67 / $61.66	Professional		$16.98	$34.67	$61.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.45 / $34.67	Professional	26	$7.08	$14.45	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $20.89 / $36.31	Professional	TC	$10.00	$20.89	$36.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.59 / $26.92	Professional	26	$10.23	$12.59	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $25.12	Professional		$16.98	$19.50	$25.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.00 / $12.88	Professional	26	$8.91	$10.00	$12.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $9.55 / $12.30	Professional	TC	$8.32	$9.55	$12.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.88 / $63.10	Professional		$14.79	$33.88	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $75.86	Professional		$19.95	$34.67	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.18 / $30.20	Professional	26	$8.51	$13.18	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $17.78 / $46.77	Professional	TC	$10.00	$17.78	$46.77
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $27.54 / $31.62	Professional	26	$9.77	$27.54	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $74.13	Professional		$19.95	$39.81	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $15.49 / $28.84	Professional	26	$8.13	$15.49	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $25.70 / $46.77	Professional	TC	$11.48	$25.70	$46.77