Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.38 / $5.39 / $9.52	Facility	26	$5.38	$5.39	$9.52
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.42 / $32.08 / $389.87	Facility	TC	$18.42	$32.08	$389.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $30.34 / $57.50	Professional		$18.94	$30.34	$57.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.39 / $6.11 / $33.61	Professional	26	$5.39	$6.11	$33.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $21.01 / $39.61	Professional	TC	$18.21	$21.01	$39.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $27.95 / $39.56	Professional		$21.45	$27.95	$39.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.73 / $5.95 / $10.65	Professional	26	$4.73	$5.95	$10.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.86 / $23.86 / $28.07	Professional	TC	$23.86	$23.86	$28.07
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $47.68 / $63.57 / $408.90	Facility	TC	$47.68	$63.57	$408.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $30.80 / $53.41	Professional		$26.00	$30.80	$53.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.95 / $15.00 / $23.55	Professional	26	$5.95	$15.00	$23.55
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.00 / $20.05 / $31.48	Professional	TC	$13.00	$20.05	$31.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $32.47 / $58.71	Professional		$22.49	$32.47	$58.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.09 / $8.68 / $14.75	Professional	26	$6.09	$8.68	$14.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $24.30 / $44.76	Professional	TC	$17.78	$24.30	$44.76
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $9.18 / $11.00 / $19.59	Facility	26	$9.18	$11.00	$19.59
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $26.99 / $37.07 / $62.04	Facility	TC	$26.99	$37.07	$62.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $103.74 / $103.74	Professional		$103.74	$103.74	$103.74
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $23.52 / $23.52 / $23.52	Professional	26	$23.52	$23.52	$23.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.60 / $51.41	Professional		$25.48	$34.60	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $32.61 / $54.12	Professional		$23.16	$32.61	$54.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.92 / $7.97 / $12.72	Professional	26	$5.92	$7.97	$12.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $24.42 / $40.53	Professional	TC	$17.32	$24.42	$40.53