Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.41 / $11.42 / $22.48	Facility	26	$11.41	$11.42	$22.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.12 / $42.58 / $492.60	Facility	TC	$25.12	$42.58	$492.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $42.67 / $78.47	Professional		$35.19	$42.67	$78.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $14.49 / $32.86	Professional	26	$11.42	$14.49	$32.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $28.17 / $47.57	Professional	TC	$24.52	$28.17	$47.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Professional		$33.15	$33.15	$33.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $10.18 / $10.18	Professional	26	$10.05	$10.18	$10.18
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $83.55 / $111.40 / $685.17	Facility	TC	$83.55	$111.40	$685.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $63.00 / $102.49	Professional		$40.29	$63.00	$102.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.57 / $32.50 / $46.26	Professional	26	$12.57	$32.50	$46.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.73 / $32.47 / $56.25	Professional	TC	$27.73	$32.47	$56.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $59.74 / $93.32	Professional		$44.88	$59.74	$93.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.51 / $20.69 / $33.45	Professional	26	$15.51	$20.69	$33.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.85 / $40.24 / $60.90	Professional	TC	$28.85	$40.24	$60.90
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.58 / $29.00 / $47.95	Facility	26	$23.58	$29.00	$47.95
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $39.39 / $50.52 / $84.19	Facility	TC	$39.39	$50.52	$84.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $160.66 / $160.66	Professional		$160.66	$160.66	$160.66
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 $41.24 / $53.70 / $85.72	Professional		$41.24	$53.70	$85.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.06 / $19.23 / $29.59	Professional	26	$14.06	$19.23	$29.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.34 / $33.82 / $56.13	Professional	TC	$26.34	$33.82	$56.13