Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.59 / $31.44 / $37.44	Facility	26	$25.59	$31.44	$37.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $58.56 / $111.24	Professional		$39.18	$58.56	$111.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $30.33 / $49.01	Professional	26	$16.92	$30.33	$49.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $27.11 / $74.40	Professional	TC	$18.21	$27.11	$74.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $73.12 / $78.59	Professional		$40.00	$73.12	$78.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $37.22 / $41.51	Professional	26	$17.60	$37.22	$41.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.46 / $23.46 / $40.29	Professional	TC	$23.46	$23.46	$40.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $63.13 / $70.14	Professional		$47.70	$63.13	$70.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $33.90 / $37.67	Professional	26	$25.62	$33.90	$37.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.08 / $29.22 / $32.47	Professional	TC	$22.08	$29.22	$32.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $29.65 / $56.96	Professional		$22.14	$29.65	$56.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $79.97 / $129.35	Professional		$40.97	$79.97	$129.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.94 / $30.88 / $46.17	Professional	26	$18.94	$30.88	$46.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.49 / $35.72 / $98.73	Professional	TC	$20.49	$35.72	$98.73
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $84.09 / $90.38	Professional		$46.00	$84.09	$90.38
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $21.80 / $42.80 / $48.63	Professional	26	$21.80	$42.80	$48.63
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $26.98 / $26.98 / $46.35	Professional	TC	$26.98	$26.98	$46.35
United Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $72.22 / $108.58	Professional		$44.65	$72.22	$108.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.21 / $27.79 / $46.53	Professional	26	$20.21	$27.79	$46.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.76 / $36.14 / $83.05	Professional	TC	$21.76	$36.14	$83.05