Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $61.66	Facility		$18.62	$18.62	$61.66
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.50 / $5.50 / $5.50	Facility	26	$5.50	$5.50	$5.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $38.02	Professional		$10.00	$16.98	$38.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.98 / $7.94	Professional	26	$2.00	$3.98	$7.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $10.00 / $22.91	Professional	TC	$7.08	$10.00	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $23.44	Professional		$16.22	$16.22	$23.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.04 / $2.95 / $6.76	Professional	26	$2.04	$2.95	$6.76
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $6.61 / $6.61 / $11.48	Professional	TC	$6.61	$6.61	$11.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $19.50	Professional		$12.88	$14.45	$19.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.47 / $4.47 / $5.89	Professional	26	$4.47	$4.47	$5.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $10.23 / $13.49	Professional	TC	$10.23	$10.23	$13.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $10.47 / $16.60	Facility		$4.07	$10.47	$16.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $9.33 / $14.13	Professional		$3.98	$9.33	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $16.60 / $28.18	Professional		$7.76	$16.60	$28.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.09 / $4.79 / $9.33	Professional	26	$2.09	$4.79	$9.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.13 / $9.77 / $17.78	Professional	TC	$5.13	$9.77	$17.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $26.92	Professional		$18.62	$18.62	$26.92
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $5.89 / $8.13	Professional	26	$5.01	$5.89	$8.13
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $13.18 / $13.18	Professional	TC	$13.18	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.79 / $21.38	Professional		$8.32	$14.79	$21.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.45 / $3.98 / $6.17	Professional	26	$2.45	$3.98	$6.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $10.47 / $16.22	Professional	TC	$5.75	$10.47	$16.22