Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $45.68 / $97.75	Professional		$35.95	$45.68	$97.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $13.76 / $34.00	Professional	26	$9.57	$13.76	$34.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.09 / $31.49 / $61.75	Professional	TC	$26.09	$31.49	$61.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $41.11 / $70.36	Professional		$28.00	$41.11	$70.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $13.19 / $18.14	Professional	26	$11.37	$13.19	$18.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.74 / $29.74 / $29.74	Professional	TC	$29.74	$29.74	$29.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $37.36 / $49.46	Professional		$10.15	$37.36	$49.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.51 / $13.54 / $16.92	Professional	26	$11.51	$13.54	$16.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.86 / $30.42 / $38.03	Professional	TC	$25.86	$30.42	$38.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $28.03 / $46.14	Facility		$10.11	$28.03	$46.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $23.65 / $36.27	Professional		$10.11	$23.65	$36.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $46.05 / $66.65	Professional		$20.63	$46.05	$66.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.30 / $11.56 / $22.36	Professional	26	$5.30	$11.56	$22.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.22 / $28.87 / $53.41	Professional	TC	$15.22	$28.87	$53.41
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $47.28 / $80.91	Professional		$40.25	$47.28	$80.91
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $13.08 / $13.43 / $20.87	Professional	26	$13.08	$13.43	$20.87
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $34.20 / $34.20 / $34.20	Professional	TC	$34.20	$34.20	$34.20
United Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $37.67 / $59.50	Professional		$22.64	$37.67	$59.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.27 / $9.52 / $15.67	Professional	26	$6.27	$9.52	$15.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.42 / $28.50 / $47.37	Professional	TC	$16.42	$28.50	$47.37