Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $67.61	Professional		$14.13	$19.05	$67.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.22 / $23.99	Professional	26	$8.91	$11.22	$23.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $6.92 / $10.47	Professional	TC	$5.01	$6.92	$10.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $32.36	Professional		$8.91	$8.91	$32.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $8.32 / $18.62	Professional	26	$5.50	$8.32	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $7.94 / $7.94	Professional	TC	$7.94	$7.94	$7.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $26.92	Professional		$18.20	$20.42	$26.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $12.59 / $16.60	Professional	26	$12.59	$12.59	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $7.94 / $10.47	Professional	TC	$7.94	$7.94	$10.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $11.48 / $20.42	Facility		$7.08	$11.48	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.48 / $17.78	Professional		$6.92	$11.48	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $20.89 / $32.36	Professional		$9.33	$20.89	$32.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $13.18 / $19.95	Professional	26	$5.75	$13.18	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $6.61 / $12.30	Professional	TC	$2.82	$6.61	$12.30
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $37.15	Professional		$22.91	$22.91	$37.15
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.22 / $22.91	Professional	26	$13.80	$16.22	$22.91
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $9.12 / $9.12	Professional	TC	$9.12	$9.12	$9.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $26.30	Professional		$10.96	$17.78	$26.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.22 / $16.98	Professional	26	$6.92	$11.22	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $5.37 / $9.12	Professional	TC	$3.98	$5.37	$9.12