Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $11.48 / $17.78	Facility	26	$10.96	$11.48	$17.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $87.10 / $102.33	Facility	TC	$25.12	$87.10	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $95.50	Professional		$36.31	$45.71	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.38 / $44.67	Professional	26	$10.96	$17.38	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $30.90 / $61.66	Professional	TC	$25.12	$30.90	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $40.74	Professional		$28.18	$32.36	$40.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $10.47 / $13.80	Professional	26	$10.23	$10.47	$13.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $23.44 / $29.51	Professional	TC	$23.44	$23.44	$29.51
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $75.86 / $100.00 / $707.95	Facility	TC	$75.86	$100.00	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $95.50	Professional		$42.66	$57.54	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $28.84 / $42.66	Professional	26	$13.18	$28.84	$42.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $32.36 / $54.95	Professional	TC	$28.18	$32.36	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $91.20	Professional		$44.67	$57.54	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.95 / $33.11	Professional	26	$13.18	$19.95	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $36.31 / $54.95	Professional	TC	$27.54	$36.31	$54.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Professional	26	$33.11	$33.11	$33.11
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 $41.69 / $51.29 / $85.11	Professional		$41.69	$51.29	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $17.78 / $30.90	Professional	26	$14.13	$17.78	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $57.54	Professional	TC	$25.70	$33.11	$57.54