Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $17.35 / $29.49	Professional		$13.40	$17.35	$29.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.69 / $4.19 / $6.64	Professional	26	$3.69	$4.19	$6.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.71 / $10.95 / $23.21	Professional	TC	$9.71	$10.95	$23.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $15.88 / $23.64	Professional		$11.00	$15.88	$23.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.87 / $6.72 / $7.22	Professional	26	$3.87	$6.72	$7.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.51 / $11.51 / $11.51	Professional	TC	$11.51	$11.51	$11.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $14.59 / $19.30	Professional		$3.92	$14.59	$19.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.44 / $5.22 / $6.53	Professional	26	$4.44	$5.22	$6.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.15 / $11.94 / $14.92	Professional	TC	$10.15	$11.94	$14.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $10.94 / $17.80	Facility		$3.94	$10.94	$17.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $9.13 / $14.11	Professional		$3.94	$9.13	$14.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $15.67 / $28.23	Professional		$7.70	$15.67	$28.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.12 / $4.59 / $9.27	Professional	26	$2.12	$4.59	$9.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.16 / $10.18 / $17.48	Professional	TC	$5.16	$10.18	$17.48
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $18.26 / $27.19	Professional		$18.26	$18.26	$27.19
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $5.03 / $5.83 / $8.22	Professional	26	$5.03	$5.83	$8.22
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $13.24 / $13.24 / $13.24	Professional	TC	$13.24	$13.24	$13.24
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $14.80 / $21.20	Professional		$8.27	$14.80	$21.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.48 / $3.96 / $6.10	Professional	26	$2.48	$3.96	$6.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.69 / $10.63 / $16.29	Professional	TC	$5.69	$10.63	$16.29