Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $11.75 / $32.36	Facility	26	$8.32	$11.75	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $112.20	Professional		$48.98	$60.26	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.91 / $21.38	Professional	26	$7.94	$8.91	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $50.12 / $83.18	Professional	TC	$39.81	$50.12	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $85.11	Professional		$45.71	$60.26	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.47 / $14.13	Professional	26	$8.13	$10.47	$14.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $58.88 / $72.44	Professional	TC	$58.88	$58.88	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $74.13	Professional		$56.23	$56.23	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.00 / $13.18	Professional	26	$10.00	$10.00	$13.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $45.71 / $60.26	Professional	TC	$45.71	$45.71	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $51.29 / $102.33	Professional		$8.71	$51.29	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $89.13	Professional		$50.12	$69.18	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.48 / $15.85	Professional	26	$8.51	$11.48	$15.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $56.23 / $74.13	Professional	TC	$41.69	$56.23	$74.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $123.03	Professional		$81.28	$97.72	$123.03
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $15.85 / $23.44	Professional	26	$13.80	$15.85	$23.44
Qualchoice Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $67.61 / $83.18	Professional	TC	$67.61	$67.61	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $87.10	Professional		$48.98	$60.26	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $15.49	Professional	26	$7.94	$10.00	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $50.12 / $74.13	Professional	TC	$40.74	$50.12	$74.13