Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $13.80 / $21.38	Facility	26	$11.22	$13.80	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $177.83	Professional		$42.66	$70.79	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $21.38 / $45.71	Professional	26	$10.96	$21.38	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $46.77 / $87.10	Professional	TC	$32.36	$46.77	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $81.28	Professional		$33.11	$41.69	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.88 / $20.89	Professional	26	$9.77	$12.88	$20.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $37.15 / $54.95	Professional	TC	$26.30	$37.15	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $109.65	Professional		$53.70	$61.66	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $25.70 / $38.02	Professional	26	$13.18	$25.70	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $41.69 / $61.66	Professional	TC	$32.36	$41.69	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $95.50	Professional		$44.67	$60.26	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.62 / $30.20	Professional	26	$12.59	$18.62	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $40.74 / $66.07	Professional	TC	$31.62	$40.74	$66.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	26	$30.20	$30.20	$30.20
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 $44.67 / $56.23 / $97.72	Professional		$44.67	$56.23	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $16.98 / $28.18	Professional	26	$13.18	$16.98	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.90 / $70.79	Professional	TC	$30.20	$38.90	$70.79