Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $11.75 / $18.62	Facility	26	$10.96	$11.75	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $104.71	Professional		$34.67	$45.71	$104.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.85 / $34.67	Professional	26	$10.96	$15.85	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.84 / $57.54	Professional	TC	$22.91	$28.84	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $70.79	Professional		$28.18	$32.36	$70.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.88 / $21.38	Professional	26	$10.23	$12.88	$21.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $39.81 / $39.81	Professional	TC	$39.81	$39.81	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $87.10	Professional		$41.69	$53.70	$87.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $23.44 / $39.81	Professional	26	$13.49	$23.44	$39.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $28.84 / $51.29	Professional	TC	$22.39	$28.84	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $79.43	Professional		$38.02	$51.29	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.38 / $26.30	Professional	26	$12.88	$17.38	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.11 / $50.12	Professional	TC	$25.12	$33.11	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Professional	26	$26.30	$26.30	$26.30
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 $34.67 / $48.98 / $81.28	Professional		$34.67	$48.98	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.85 / $28.18	Professional	26	$12.30	$15.85	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $53.70	Professional	TC	$22.91	$30.90	$53.70