Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $19.46 / $40.69	Professional		$17.17	$19.46	$40.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.44 / $11.64 / $21.53	Professional	26	$10.44	$11.64	$21.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.88 / $7.82 / $12.68	Professional	TC	$6.88	$7.82	$12.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $20.14 / $32.44	Professional		$8.92	$20.14	$32.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.42 / $14.40 / $19.80	Professional	26	$12.42	$14.40	$19.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.73 / $7.73 / $7.73	Professional	TC	$7.73	$7.73	$7.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $20.46 / $27.08	Professional		$11.08	$20.46	$27.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.56 / $14.78 / $18.47	Professional	26	$12.56	$14.78	$18.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.90 / $9.30 / $11.62	Professional	TC	$7.90	$9.30	$11.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $11.34 / $22.22	Facility		$6.86	$11.34	$22.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $11.04 / $17.91	Professional		$6.86	$11.04	$17.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $20.48 / $32.52	Professional		$9.24	$20.48	$32.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.78 / $12.63 / $20.18	Professional	26	$5.78	$12.63	$20.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $6.55 / $12.43	Professional	TC	$2.88	$6.55	$12.43
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $37.31	Professional		$23.17	$23.17	$37.31
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $14.28 / $14.66 / $22.77	Professional	26	$14.28	$14.66	$22.77
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $8.89 / $8.89 / $8.89	Professional	TC	$8.89	$8.89	$8.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $18.48 / $25.97	Professional		$11.01	$18.48	$25.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.86 / $9.02 / $17.12	Professional	26	$6.86	$9.02	$17.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.96 / $5.31 / $9.92	Professional	TC	$3.96	$5.31	$9.92