Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $15.49 / $24.55	Facility	26	$12.59	$15.49	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $162.18	Professional		$50.12	$69.18	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.20 / $44.67	Professional	26	$12.02	$18.20	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $51.29 / $100.00	Professional	TC	$37.15	$51.29	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $107.15	Professional		$38.90	$46.77	$107.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $13.80 / $25.70	Professional	26	$11.22	$13.80	$25.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $38.02 / $52.48	Professional	TC	$36.31	$38.02	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $147.91	Professional		$60.26	$77.62	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $28.84 / $41.69	Professional	26	$14.45	$28.84	$41.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $48.98 / $107.15	Professional	TC	$43.65	$48.98	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $125.89	Professional		$57.54	$74.13	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $20.89 / $34.67	Professional	26	$13.80	$20.89	$34.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $53.70 / $91.20	Professional	TC	$39.81	$53.70	$91.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	26	$36.31	$36.31	$36.31
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 $54.95 / $69.18 / $117.49	Professional		$54.95	$69.18	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $18.62 / $32.36	Professional	26	$14.79	$18.62	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $50.12 / $87.10	Professional	TC	$40.74	$50.12	$87.10