Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.78 / $15.79 / $23.69	Facility	26	$15.78	$15.79	$23.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $44.91 / $75.79	Professional		$37.33	$44.91	$75.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.67 / $22.00	Professional	26	$10.47	$12.67	$22.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.86 / $31.26 / $57.68	Professional	TC	$26.86	$31.26	$57.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $65.42 / $86.65	Professional		$57.06	$65.42	$86.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.97 / $18.12 / $24.31	Professional	26	$15.97	$18.12	$24.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.09 / $41.09 / $41.09	Professional	TC	$41.09	$41.09	$41.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $55.60 / $65.41	Professional		$44.48	$55.60	$65.41
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 $30.91 / $38.64 / $45.46	Professional	TC	$30.91	$38.64	$45.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $38.51 / $65.00	Professional		$12.62	$38.51	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $54.50 / $71.23	Professional		$40.92	$54.50	$71.23
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 $28.35 / $38.02 / $48.70	Professional	TC	$28.35	$38.02	$48.70
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $75.23 / $99.65	Professional		$65.62	$75.23	$99.65
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $18.37 / $19.50 / $27.96	Professional	26	$18.37	$19.50	$27.96
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $47.25 / $47.25 / $47.25	Professional	TC	$47.25	$47.25	$47.25
United Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $47.70 / $70.13	Professional		$37.72	$47.70	$70.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $14.17 / $21.59	Professional	26	$10.74	$14.17	$21.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.36 / $33.86 / $51.02	Professional	TC	$26.36	$33.86	$51.02