Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.84 / $34.83 / $41.80	Facility	26	$30.84	$34.83	$41.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $58.02 / $128.12	Professional		$38.10	$58.02	$128.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.62 / $29.50 / $40.78	Professional	26	$20.62	$29.50	$40.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.97 / $23.97 / $56.56	Professional	TC	$15.97	$23.97	$56.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $62.54 / $73.67	Professional		$33.15	$62.54	$73.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.66 / $40.13 / $43.47	Professional	26	$21.66	$40.13	$43.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.21 / $33.06 / $33.54	Professional	TC	$29.21	$33.06	$33.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $61.66 / $68.51	Professional		$46.59	$61.66	$68.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.16 / $34.61 / $38.47	Professional	26	$26.16	$34.61	$38.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $27.04 / $30.04	Professional	TC	$20.43	$27.04	$30.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $25.14 / $50.77	Professional		$18.35	$25.14	$50.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $63.29 / $94.41	Professional		$37.32	$63.29	$94.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $34.71 / $46.33	Professional	26	$20.23	$34.71	$46.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $28.58 / $56.84	Professional	TC	$17.07	$28.58	$56.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $71.92 / $77.12	Professional		$40.11	$71.92	$77.12
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $43.88 / $47.98	Professional	26	$22.39	$43.88	$47.98
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $31.51 / $38.02 / $38.57	Professional	TC	$31.51	$38.02	$38.57
United Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $57.17 / $95.28	Professional		$41.45	$57.17	$95.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.06 / $29.17 / $46.12	Professional	26	$23.06	$29.17	$46.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.79 / $25.93 / $41.86	Professional	TC	$18.79	$25.93	$41.86