Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $27.88 / $49.50	Professional		$24.59	$27.88	$49.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.92 / $20.37 / $33.11	Professional	26	$17.92	$20.37	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.66 / $7.51 / $13.92	Professional	TC	$6.66	$7.51	$13.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $26.55 / $26.55	Professional		$26.55	$26.55	$26.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.32 / $19.32 / $19.32	Professional	26	$19.32	$19.32	$19.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $33.88 / $42.35	Professional		$25.41	$33.88	$42.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.75 / $26.33 / $32.90	Professional	26	$19.75	$26.33	$32.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.66 / $7.55 / $9.44	Professional	TC	$5.66	$7.55	$9.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $17.26 / $26.51	Professional		$7.17	$17.26	$26.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $28.25 / $47.53	Professional		$14.16	$28.25	$47.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $22.44 / $37.76	Professional	26	$10.32	$22.44	$37.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.13 / $6.70 / $11.10	Professional	TC	$3.13	$6.70	$11.10
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $22.22 / $22.22 / $22.22	Professional	26	$22.22	$22.22	$22.22
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $27.06 / $38.07	Professional		$16.22	$27.06	$38.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.93 / $20.62 / $30.03	Professional	26	$11.93	$20.62	$30.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $4.74 / $7.94	Professional	TC	$3.72	$4.74	$7.94