Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.28 / $29.29 / $43.94	Facility	26	$29.28	$29.29	$43.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $36.65 / $64.79	Professional		$30.46	$36.65	$64.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.43 / $23.64 / $46.32	Professional	26	$20.43	$23.64	$46.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.00 / $17.05 / $21.14	Professional	52	$15.00	$17.05	$21.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.45 / $12.00 / $20.64	Professional	TC	$10.45	$12.00	$20.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $46.66 / $53.34	Professional		$41.17	$46.66	$53.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.05 / $32.61 / $45.08	Professional	26	$27.05	$32.61	$45.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $42.24 / $49.69	Professional		$33.79	$42.24	$49.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.64 / $29.55 / $34.77	Professional	26	$23.64	$29.55	$34.77
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.15 / $12.68 / $14.92	Professional	TC	$10.15	$12.68	$14.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $27.82 / $47.69	Professional		$12.41	$27.82	$47.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $42.56 / $56.64	Professional		$31.99	$42.56	$56.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.22 / $30.17 / $39.60	Professional	26	$21.22	$30.17	$39.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.10 / $13.53 / $17.54	Professional	TC	$10.10	$13.53	$17.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $53.66 / $78.90	Professional		$50.19	$53.66	$78.90
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $31.11 / $34.11 / $41.10	Professional	26	$31.11	$34.11	$41.10
United Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $37.72 / $61.77	Professional		$29.71	$37.72	$61.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.12 / $25.87 / $41.02	Professional	26	$20.12	$25.87	$41.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.99 / $11.86 / $18.55	Professional	TC	$8.99	$11.86	$18.55