Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $13.18 / $21.38	Facility	26	$10.47	$13.18	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $186.21	Professional		$41.69	$74.13	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $21.38 / $53.70	Professional	26	$10.96	$21.38	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $45.71 / $83.18	Professional	TC	$31.62	$45.71	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $83.18	Professional		$33.11	$43.65	$83.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.02 / $20.42	Professional	26	$9.55	$12.02	$20.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $35.48 / $44.67	Professional	TC	$25.70	$35.48	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $109.65	Professional		$52.48	$61.66	$109.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $26.30 / $41.69	Professional	26	$12.88	$26.30	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $39.81 / $61.66	Professional	TC	$30.20	$39.81	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $97.72	Professional		$46.77	$60.26	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.20 / $30.20	Professional	26	$12.02	$18.20	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $41.69 / $66.07	Professional	TC	$31.62	$41.69	$66.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Professional	26	$30.90	$30.90	$30.90
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 $45.71 / $54.95 / $95.50	Professional		$45.71	$54.95	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.22 / $28.18	Professional	26	$12.59	$16.22	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $39.81 / $67.61	Professional	TC	$31.62	$39.81	$67.61