Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $33.84 / $64.03	Professional		$27.33	$33.84	$64.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.68 / $6.69 / $13.38	Professional	26	$5.68	$6.69	$13.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $25.45 / $50.00	Professional	TC	$21.65	$25.45	$50.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $31.85 / $49.48	Professional		$17.00	$31.85	$49.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.83 / $10.36 / $11.11	Professional	26	$6.83	$10.36	$11.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.02 / $25.02 / $25.02	Professional	TC	$25.02	$25.02	$25.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $28.29 / $37.44	Professional		$6.10	$28.29	$37.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.14 / $10.17	Professional	26	$6.92	$8.14	$10.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.37 / $25.14 / $31.43	Professional	TC	$21.37	$25.14	$31.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $23.61 / $35.84	Facility		$6.11	$23.61	$35.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $18.32 / $28.13	Professional		$6.11	$18.32	$28.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.51 / $60.01	Professional		$15.85	$31.51	$60.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.18 / $7.00 / $14.18	Professional	26	$3.18	$7.00	$14.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.87 / $23.93 / $45.83	Professional	TC	$11.87	$23.93	$45.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $36.63 / $38.82	Professional		$36.63	$36.63	$38.82
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $9.11 / $12.65	Professional	26	$7.85	$9.11	$12.65
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $28.77 / $28.77 / $28.77	Professional	TC	$28.77	$28.77	$28.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $29.55 / $45.80	Professional		$16.76	$29.55	$45.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.74 / $4.84 / $9.39	Professional	26	$3.74	$4.84	$9.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.01 / $22.97 / $37.52	Professional	TC	$13.01	$22.97	$37.52