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 / $21.22	Facility	26	$10.57	$10.57	$21.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $59.90 / $192.10	Professional		$41.84	$59.90	$192.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $13.74 / $93.60	Professional	26	$10.57	$13.74	$93.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.61 / $36.57 / $73.95	Professional	TC	$30.61	$36.57	$73.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $51.41 / $83.66	Professional		$45.59	$51.41	$83.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $12.81 / $21.34	Professional	26	$9.53	$12.81	$21.34
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $37.43 / $41.44 / $62.33	Professional	TC	$37.43	$41.44	$62.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $61.00 / $110.67	Professional		$46.74	$61.00	$110.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $31.00 / $44.04	Professional	26	$11.92	$31.00	$44.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.00 / $36.94 / $69.37	Professional	TC	$30.00	$36.94	$69.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $61.07 / $101.67	Professional		$45.74	$61.07	$101.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.87 / $18.61 / $31.38	Professional	26	$13.87	$18.61	$31.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.86 / $43.24 / $72.68	Professional	TC	$33.86	$43.24	$72.68
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $22.23 / $29.30 / $44.56	Facility	26	$22.23	$29.30	$44.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.93 / $182.93 / $182.93	Professional		$182.93	$182.93	$182.93
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $136.97 / $136.97 / $136.97	Professional	TC	$136.97	$136.97	$136.97
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 $45.19 / $58.90 / $93.74	Professional		$45.19	$58.90	$93.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $17.28 / $26.72	Professional	26	$12.69	$17.28	$26.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.98 / $41.65 / $67.02	Professional	TC	$31.98	$41.65	$67.02