Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.88 / $19.95	Facility	26	$12.02	$12.88	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $144.54	Professional		$50.12	$64.57	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $58.88	Professional	26	$12.02	$18.62	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $43.65 / $95.50	Professional	TC	$34.67	$43.65	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $89.13	Professional		$37.15	$63.10	$89.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $13.80 / $21.88	Professional	26	$11.22	$13.80	$21.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $44.67 / $64.57	Professional	TC	$29.51	$44.67	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $69.18 / $123.03	Professional		$60.26	$69.18	$123.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $23.44 / $39.81	Professional	26	$14.79	$23.44	$39.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $45.71 / $67.61	Professional	TC	$38.02	$45.71	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $104.71	Professional		$53.70	$69.18	$104.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.50 / $31.62	Professional	26	$14.45	$19.50	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $48.98 / $77.62	Professional	TC	$38.02	$48.98	$77.62
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 $50.12 / $64.57 / $112.20	Professional		$50.12	$64.57	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $18.62 / $30.90	Professional	26	$14.79	$18.62	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $46.77 / $81.28	Professional	TC	$35.48	$46.77	$81.28