Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $15.79 / $24.60	Facility	26	$11.22	$15.79	$24.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $60.62 / $120.35	Professional		$48.05	$60.62	$120.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $13.02 / $49.60	Professional	26	$11.24	$13.02	$49.60
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.43 / $27.10 / $32.65	Professional	52	$23.43	$27.10	$32.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.39 / $44.44 / $77.70	Professional	TC	$36.39	$44.44	$77.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $83.18 / $108.31	Professional		$49.93	$83.18	$108.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $16.53 / $19.25	Professional	26	$9.96	$16.53	$19.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $68.37 / $80.44	Professional		$54.70	$68.37	$80.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $16.96 / $19.95	Professional	26	$13.57	$16.96	$19.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.13 / $51.42 / $60.49	Professional	TC	$41.13	$51.42	$60.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $48.14 / $83.92	Professional		$12.62	$48.14	$83.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $67.88 / $89.89	Professional		$50.92	$67.88	$89.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $16.27 / $21.90	Professional	26	$11.52	$16.27	$21.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.35 / $51.26 / $67.34	Professional	TC	$38.35	$51.26	$67.34
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $95.66 / $124.56	Professional		$74.73	$95.66	$124.56
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $16.77 / $19.01 / $22.14	Professional	26	$16.77	$19.01	$22.14
United Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $58.32 / $87.36	Professional		$46.33	$58.32	$87.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.85 / $14.35 / $23.61	Professional	26	$10.85	$14.35	$23.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.59 / $44.80 / $75.01	Professional	TC	$35.59	$44.80	$75.01