Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.66 / $7.67 / $13.51	Facility	26	$7.66	$7.67	$13.51
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.23 / $19.23 / $69.95	Facility	TC	$19.23	$19.23	$69.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $28.37 / $64.93	Professional		$20.49	$28.37	$64.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $8.46 / $31.20	Professional	26	$7.67	$8.46	$31.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.02 / $19.57 / $34.45	Professional	TC	$18.02	$19.57	$34.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $53.66 / $53.66	Professional		$32.22	$53.66	$53.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $9.30 / $15.13	Professional	26	$8.44	$9.30	$15.13
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $84.15 / $112.20 / $112.20	Facility	TC	$84.15	$112.20	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $68.00 / $112.50	Professional		$29.98	$68.00	$112.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $38.00 / $52.61	Professional	26	$8.44	$38.00	$52.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.53 / $29.00 / $52.00	Professional	TC	$21.53	$29.00	$52.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $36.93 / $70.72	Professional		$28.74	$36.93	$70.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $12.11 / $22.47	Professional	26	$9.65	$12.11	$22.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $25.33 / $48.11	Professional	TC	$18.98	$25.33	$48.11
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.29 / $14.07 / $28.14	Facility	26	$12.29	$14.07	$28.14
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $27.33 / $27.33 / $61.21	Facility	TC	$27.33	$27.33	$61.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $115.99 / $115.99	Professional		$115.99	$115.99	$115.99
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $82.58 / $82.58 / $82.58	Professional	TC	$82.58	$82.58	$82.58
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 $26.30 / $38.36 / $61.08	Professional		$26.30	$38.36	$61.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $11.68 / $18.54	Professional	26	$8.81	$11.68	$18.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.39 / $24.90 / $41.88	Professional	TC	$17.39	$24.90	$41.88