Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $13.49 / $19.05	Facility	26	$10.47	$13.49	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $97.72	Professional		$38.02	$50.12	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $34.67	Professional	26	$10.00	$14.13	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $34.67 / $69.18	Professional	TC	$25.70	$34.67	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $53.70	Professional		$28.84	$33.88	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.59 / $18.62	Professional	26	$9.33	$12.59	$18.62
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $25.12 / $33.11	Professional	TC	$21.38	$25.12	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $93.33	Professional		$45.71	$52.48	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $25.70 / $37.15	Professional	26	$12.59	$25.70	$37.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.11 / $60.26	Professional	TC	$24.55	$33.11	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $79.43	Professional		$39.81	$53.70	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $16.60 / $25.70	Professional	26	$11.75	$16.60	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $36.31 / $56.23	Professional	TC	$27.54	$36.31	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $25.12 / $25.12	Professional	26	$25.12	$25.12	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $87.10	Professional		$36.31	$48.98	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.79 / $25.70	Professional	26	$11.75	$14.79	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $34.67 / $61.66	Professional	TC	$24.55	$34.67	$61.66