Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $7.76 / $10.23	Facility	26	$6.03	$7.76	$10.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $11.48 / $23.44 / $45.71	Facility	TC	$11.48	$23.44	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $53.70	Professional		$15.14	$23.99	$53.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.55 / $23.44	Professional	26	$6.03	$9.55	$23.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $100.00 / $194.98	Professional	50	$38.90	$100.00	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $14.79 / $30.20	Professional	TC	$10.96	$14.79	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $33.11	Professional		$13.49	$16.22	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $6.92 / $10.72	Professional	26	$5.62	$6.92	$10.72
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $47.86 / $47.86	Professional	50	$47.86	$47.86	$47.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $17.38 / $19.05	Professional	TC	$12.88	$17.38	$19.05
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $43.65 / $43.65 / $57.54	Facility	TC	$43.65	$43.65	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $46.77	Professional		$21.38	$30.90	$46.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $22.91	Professional	26	$7.41	$11.22	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $14.45 / $25.70	Professional	TC	$13.18	$14.45	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $44.67	Professional		$21.38	$28.84	$44.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.55 / $15.14	Professional	26	$7.08	$9.55	$15.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $18.62 / $28.84	Professional	TC	$13.18	$18.62	$28.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.14 / $15.14	Professional	26	$15.14	$15.14	$15.14
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 $19.95 / $25.70 / $41.69	Professional		$19.95	$25.70	$41.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.71 / $15.14	Professional	26	$6.92	$8.71	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $16.60 / $27.54	Professional	TC	$12.88	$16.60	$27.54