Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.13 / $11.13 / $21.22	Facility	26	$11.13	$11.13	$21.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $56.51 / $175.13	Professional		$43.46	$56.51	$175.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.13 / $13.80 / $33.00	Professional	26	$11.13	$13.80	$33.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.35 / $36.29 / $66.23	Professional	TC	$32.35	$36.29	$66.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $52.18 / $73.84	Professional		$39.99	$52.18	$73.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $12.25 / $21.93	Professional	26	$9.72	$12.25	$21.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.01 / $50.81 / $64.95	Professional	TC	$39.01	$50.81	$64.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.54 / $63.10 / $106.80	Professional		$48.54	$63.10	$106.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $28.50 / $40.49	Professional	26	$12.25	$28.50	$40.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.50 / $39.00 / $66.80	Professional	TC	$32.50	$39.00	$66.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $60.54 / $106.16	Professional		$45.08	$60.54	$106.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.87 / $19.01 / $32.59	Professional	26	$13.87	$19.01	$32.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $42.37 / $75.63	Professional	TC	$32.47	$42.37	$75.63
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $22.38 / $31.00 / $45.24	Facility	26	$22.38	$31.00	$45.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.11 / $190.11 / $190.11	Professional		$190.11	$190.11	$190.11
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $48.43 / $48.43 / $48.43	Professional	26	$48.43	$48.43	$48.43
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 $44.76 / $58.98 / $97.87	Professional		$44.76	$58.98	$97.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.37 / $18.30 / $39.54	Professional	26	$13.37	$18.30	$39.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.41 / $42.77 / $69.72	Professional	TC	$30.41	$42.77	$69.72