Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.57 / $10.57 / $13.21	Facility	26	$10.57	$10.57	$13.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $37.22 / $102.96	Professional		$34.88	$37.22	$102.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $11.82 / $39.00	Professional	26	$10.57	$11.82	$39.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $24.32 / $41.21	Professional	TC	$23.17	$24.32	$41.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $69.40 / $69.40	Professional		$58.99	$69.40	$69.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $12.50 / $20.82	Professional	26	$9.42	$12.50	$20.82
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.29 / $38.00 / $38.00	Professional	TC	$32.29	$38.00	$38.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $46.82 / $83.33	Professional		$38.77	$46.82	$83.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.63 / $25.00 / $35.00	Professional	26	$11.63	$25.00	$35.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.00 / $27.14 / $43.00	Professional	TC	$20.00	$27.14	$43.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $48.50 / $92.74	Professional		$37.77	$48.50	$92.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.56 / $17.01 / $30.94	Professional	26	$13.56	$17.01	$30.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.13 / $32.18 / $60.19	Professional	TC	$24.13	$32.18	$60.19
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.79 / $21.25 / $39.57	Facility	26	$19.79	$21.25	$39.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $152.19 / $152.19	Professional		$152.19	$152.19	$152.19
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $106.24 / $106.24 / $106.24	Professional	TC	$106.24	$106.24	$106.24
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 $34.56 / $48.60 / $79.18	Professional		$34.56	$48.60	$79.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $15.85 / $26.05	Professional	26	$12.34	$15.85	$26.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.11 / $31.74 / $53.44	Professional	TC	$22.11	$31.74	$53.44