Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $9.55 / $10.96	Facility	26	$7.08	$9.55	$10.96
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.05 / $69.18 / $83.18	Facility	TC	$19.05	$69.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $32.36 / $81.28	Professional		$18.62	$32.36	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.00 / $26.30	Professional	26	$7.59	$10.00	$26.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.91 / $47.86	Professional	TC	$18.20	$22.91	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $53.70	Professional		$21.88	$29.51	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.51 / $14.79	Professional	26	$6.76	$8.51	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $23.99 / $30.90	Professional	TC	$13.80	$23.99	$30.90
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $91.20 / $91.20 / $123.03	Facility	TC	$91.20	$91.20	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $61.66 / $100.00	Professional		$33.11	$61.66	$100.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $20.89 / $50.12	Professional	26	$9.12	$20.89	$50.12
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.84 / $52.48	Professional	TC	$23.44	$28.84	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $54.95	Professional		$28.18	$36.31	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.48 / $18.62	Professional	26	$8.71	$11.48	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $24.55 / $38.90	Professional	TC	$19.05	$24.55	$38.90
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 $26.30 / $33.88 / $60.26	Professional		$26.30	$33.88	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.96 / $18.62	Professional	26	$8.71	$10.96	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $23.44 / $41.69	Professional	TC	$17.38	$23.44	$41.69