Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.23 / $9.67 / $16.20	Facility	26	$9.23	$9.67	$16.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $32.24 / $91.12	Professional		$25.23	$32.24	$91.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.49 / $9.23 / $43.14	Professional	26	$6.49	$9.23	$43.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.59 / $23.01 / $36.85	Professional	TC	$15.59	$23.01	$36.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $10.87 / $14.42	Professional	26	$8.65	$10.87	$14.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $31.33 / $31.33 / $31.33	Professional	TC	$31.33	$31.33	$31.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $36.34 / $36.34	Professional		$27.46	$36.34	$36.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $10.67 / $10.67	Professional	26	$8.06	$10.67	$10.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $25.68 / $25.68	Professional	TC	$19.39	$25.68	$25.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $17.28 / $30.46	Professional		$6.86	$17.28	$30.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $39.85 / $77.66	Professional		$27.95	$39.85	$77.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $11.20 / $15.96	Professional	26	$7.90	$11.20	$15.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.91 / $28.30 / $53.10	Professional	TC	$18.91	$28.30	$53.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $54.74 / $54.74	Professional		$54.74	$54.74	$54.74
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $12.50 / $16.57	Professional	26	$9.94	$12.50	$16.57
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $36.03 / $36.03 / $36.03	Professional	TC	$36.03	$36.03	$36.03
United Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $35.15 / $62.82	Professional		$23.89	$35.15	$62.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $9.81 / $15.10	Professional	26	$6.71	$9.81	$15.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $25.46 / $43.97	Professional	TC	$16.73	$25.46	$43.97