Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.72 / $11.72 / $17.95	Facility	26	$11.72	$11.72	$17.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $38.45 / $81.59	Professional		$35.35	$38.45	$81.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $12.47 / $28.27	Professional	26	$11.50	$12.47	$28.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.83 / $25.42 / $42.10	Professional	TC	$21.83	$25.42	$42.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.31 / $19.47 / $23.07	Professional	26	$10.31	$19.47	$23.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $54.00 / $94.95	Professional		$39.44	$54.00	$94.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.89 / $31.50 / $41.31	Professional	26	$12.89	$31.50	$41.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.50 / $27.75 / $52.03	Professional	TC	$22.50	$27.75	$52.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $53.03 / $90.85	Professional		$38.17	$53.03	$90.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.77 / $18.00 / $32.89	Professional	26	$12.77	$18.00	$32.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.79 / $35.64 / $57.95	Professional	TC	$25.79	$35.64	$57.95
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $18.00 / $23.00 / $38.90	Facility	26	$18.00	$23.00	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $157.21 / $157.21	Professional		$157.21	$157.21	$157.21
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $50.97 / $50.97 / $50.97	Professional	26	$50.97	$50.97	$50.97
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 $35.06 / $49.46 / $81.78	Professional		$35.06	$49.46	$81.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.33 / $17.88 / $28.43	Professional	26	$12.33	$17.88	$28.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.93 / $32.20 / $53.44	Professional	TC	$22.93	$32.20	$53.44