Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $11.75 / $16.98	Facility	26	$9.33	$11.75	$16.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.84 / $56.23 / $562.34	Facility	TC	$28.84	$56.23	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $54.95 / $162.18	Professional		$22.91	$54.95	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $21.38 / $53.70	Professional	26	$8.91	$21.38	$53.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $91.20 / $436.52	Professional	50	$42.66	$91.20	$436.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $44.67 / $104.71	Professional	TC	$28.18	$44.67	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $77.62	Professional		$31.62	$43.65	$77.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.47 / $17.78	Professional	26	$8.32	$10.47	$17.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $61.66 / $112.20	Professional	50	$45.71	$61.66	$112.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $57.54	Professional	TC	$25.70	$38.02	$57.54
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $58.88 / $77.62 / $426.58	Facility	TC	$58.88	$77.62	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $79.43	Professional		$42.66	$48.98	$79.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $19.95 / $33.88	Professional	26	$11.22	$19.95	$33.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $35.48 / $53.70	Professional	TC	$16.60	$35.48	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $77.62	Professional		$35.48	$48.98	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.13 / $22.91	Professional	26	$10.23	$14.13	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $34.67 / $57.54	Professional	TC	$24.55	$34.67	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $22.91 / $22.91	Professional	26	$22.91	$22.91	$22.91
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 $33.88 / $45.71 / $83.18	Professional		$33.88	$45.71	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $12.88 / $22.91	Professional	26	$10.23	$12.88	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.88 / $60.26	Professional	TC	$23.44	$33.88	$60.26