Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.59 / $16.67 / $45.90	Facility	26	$9.59	$16.67	$45.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $64.06 / $196.37	Professional		$40.10	$64.06	$196.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $15.25 / $60.76	Professional	26	$10.05	$15.25	$60.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.04 / $48.89 / $60.18	Professional	TC	$30.04	$48.89	$60.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $57.58 / $94.57	Professional		$44.98	$57.58	$94.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.39 / $16.89 / $20.35	Professional	26	$9.39	$16.89	$20.35
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $61.62 / $61.62 / $61.62	Professional	TC	$61.62	$61.62	$61.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $75.50 / $88.82	Professional		$60.40	$75.50	$88.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.33 / $17.91 / $21.07	Professional	26	$14.33	$17.91	$21.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.07 / $57.59 / $67.75	Professional	TC	$46.07	$57.59	$67.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $33.32 / $56.59	Professional		$10.81	$33.32	$56.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $76.44 / $92.05	Professional		$42.13	$76.44	$92.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.44 / $18.30 / $25.86	Professional	26	$10.44	$18.30	$25.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.54 / $54.67 / $70.22	Professional	TC	$30.54	$54.67	$70.22
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $66.22 / $108.76	Professional		$51.73	$66.22	$108.76
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $14.33 / $16.66 / $23.40	Professional	26	$14.33	$16.66	$23.40
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $70.86 / $70.86 / $70.86	Professional	TC	$70.86	$70.86	$70.86
United Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $62.08 / $90.04	Professional		$49.48	$62.08	$90.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $14.66 / $23.35	Professional	26	$10.81	$14.66	$23.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.47 / $48.86 / $77.30	Professional	TC	$36.47	$48.86	$77.30