Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $29.51 / $36.31	Facility	26	$28.84	$29.51	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $75.86	Professional		$30.20	$36.31	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $22.91 / $48.98	Professional	26	$19.50	$22.91	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $11.48 / $17.38	Professional	TC	$8.91	$11.48	$17.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $53.70	Professional		$26.92	$40.74	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $24.55 / $35.48	Professional	26	$16.22	$24.55	$35.48
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $10.72 / $10.72 / $10.72	Professional	52	$10.72	$10.72	$10.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $44.67	Professional		$33.88	$33.88	$44.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $31.62	Professional	26	$23.44	$23.44	$31.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $10.23 / $13.49	Professional	TC	$10.23	$10.23	$13.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $27.54 / $66.07	Professional		$12.02	$27.54	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $56.23	Professional		$32.36	$41.69	$56.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.84 / $39.81	Professional	26	$21.38	$28.84	$39.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $13.49 / $18.20	Professional	TC	$10.00	$13.49	$18.20
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $91.20	Professional		$47.86	$60.26	$91.20
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $38.90 / $51.29	Professional	26	$33.11	$38.90	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $56.23	Professional		$28.84	$37.15	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.70 / $38.02	Professional	26	$19.95	$25.70	$38.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $11.75 / $17.78	Professional	TC	$9.12	$11.75	$17.78