Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.37 / $21.47 / $35.40	Facility	26	$18.37	$21.47	$35.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $41.57 / $84.11	Professional		$34.61	$41.57	$84.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.24 / $15.23 / $29.97	Professional	26	$13.24	$15.23	$29.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.09 / $25.65 / $37.97	Professional	TC	$22.09	$25.65	$37.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $45.54 / $61.03	Professional		$45.54	$45.54	$61.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.52 / $19.85 / $19.85	Professional	26	$17.52	$19.85	$19.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $51.07 / $60.08	Professional		$40.85	$51.07	$60.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.29 / $20.37 / $23.96	Professional	26	$16.29	$20.37	$23.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.56 / $30.70 / $36.11	Professional	TC	$24.56	$30.70	$36.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $29.89 / $51.47	Professional		$15.13	$29.89	$51.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $48.50 / $62.27	Professional		$34.99	$48.50	$62.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.89 / $19.95 / $26.18	Professional	26	$13.89	$19.95	$26.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.33 / $28.95 / $37.43	Professional	TC	$21.33	$28.95	$37.43
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $52.37 / $70.18	Professional		$52.37	$52.37	$70.18
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $20.14 / $22.83	Professional	26	$20.14	$20.14	$22.83
United Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $40.36 / $64.14	Professional		$31.88	$40.36	$64.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.01 / $16.68 / $26.57	Professional	26	$13.01	$16.68	$26.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.87 / $25.14 / $41.04	Professional	TC	$18.87	$25.14	$41.04