Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.42 / $11.42 / $11.42	Facility	26	$11.42	$11.42	$11.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $41.21 / $75.81	Professional		$35.53	$41.21	$75.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $12.11 / $22.28	Professional	26	$10.76	$12.11	$22.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.76 / $29.52 / $46.22	Professional	TC	$24.76	$29.52	$46.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $12.57 / $18.98	Professional	26	$10.18	$12.57	$18.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $51.70 / $89.18	Professional		$27.00	$51.70	$89.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.57 / $15.71 / $37.50	Professional	26	$12.57	$15.71	$37.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.39 / $34.22 / $66.47	Professional	TC	$30.39	$34.22	$66.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $55.26 / $98.14	Professional		$40.68	$55.26	$98.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.84 / $18.41 / $31.34	Professional	26	$12.84	$18.41	$31.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.69 / $36.97 / $66.79	Professional	TC	$27.69	$36.97	$66.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.92 / $24.00 / $40.98	Facility	26	$19.92	$24.00	$40.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $173.66 / $173.66	Professional		$173.66	$173.66	$173.66
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $49.72 / $49.72 / $49.72	Professional	26	$49.72	$49.72	$49.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $55.17 / $90.49	Professional		$37.90	$55.17	$90.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $16.88 / $27.73	Professional	26	$12.99	$16.88	$27.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $37.74 / $61.59	Professional	TC	$24.92	$37.74	$61.59