Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.01 / $18.14 / $22.56	Facility	26	$18.01	$18.14	$22.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $42.69 / $76.14	Professional		$34.85	$42.69	$76.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.15 / $18.01 / $44.75	Professional	26	$12.15	$18.01	$44.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.27 / $21.35 / $29.76	Professional	52	$17.27	$21.35	$29.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $25.21 / $55.94	Professional	TC	$22.26	$25.21	$55.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $23.09 / $23.32	Professional	26	$12.62	$23.09	$23.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $50.85 / $56.50	Professional		$38.42	$50.85	$56.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.62 / $20.67 / $22.97	Professional	26	$15.62	$20.67	$22.97
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.80 / $30.18 / $33.53	Professional	TC	$22.80	$30.18	$33.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $31.66 / $50.99	Professional		$12.64	$31.66	$50.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $49.51 / $78.80	Professional		$37.54	$49.51	$78.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.47 / $19.48 / $26.34	Professional	26	$12.47	$19.48	$26.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.03 / $31.05 / $52.04	Professional	TC	$22.03	$31.05	$52.04
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $26.55 / $27.29	Professional	26	$23.48	$26.55	$27.29
United Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $47.28 / $80.55	Professional		$38.08	$47.28	$80.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.93 / $15.10 / $25.50	Professional	26	$12.93	$15.10	$25.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.54 / $30.68 / $55.22	Professional	TC	$23.54	$30.68	$55.22