Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $100.00	Professional		$37.15	$48.98	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $31.62 / $66.07	Professional	26	$22.91	$31.62	$66.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $18.20 / $25.70	Professional	TC	$12.88	$18.20	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $56.23	Professional		$25.70	$25.70	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $16.22 / $41.69	Professional	26	$15.85	$16.22	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $72.44	Professional		$47.86	$47.86	$72.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $32.36 / $48.98	Professional	26	$32.36	$32.36	$48.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $15.49 / $23.44	Professional	TC	$15.49	$15.49	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $50.12	Professional		$18.20	$32.36	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $54.95 / $91.20	Professional		$25.12	$54.95	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $35.48 / $57.54	Professional	26	$16.22	$35.48	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $16.98 / $30.90	Professional	TC	$9.33	$16.98	$30.90
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $47.86	Professional	26	$40.74	$40.74	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $74.13	Professional		$28.84	$46.77	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.20 / $48.98	Professional	26	$19.50	$30.20	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $16.60 / $25.12	Professional	TC	$10.00	$16.60	$25.12