Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $9.33 / $14.45	Facility	26	$9.33	$9.33	$14.45
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $29.51 / $85.11	Facility	TC	$20.89	$29.51	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $123.03	Professional		$30.20	$51.29	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $18.62 / $57.54	Professional	26	$9.33	$18.62	$57.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.92 / $52.48	Professional	TC	$19.05	$26.92	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $56.23	Professional		$21.88	$28.18	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.23 / $13.80	Professional	26	$8.32	$10.23	$13.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $24.55 / $42.66	Professional	TC	$20.89	$24.55	$42.66
BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $83.18 / $83.18 / $109.65	Facility	TC	$83.18	$83.18	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $74.13	Professional		$35.48	$44.67	$74.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $22.39 / $33.11	Professional	26	$10.72	$22.39	$33.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $25.12 / $36.31	Professional	TC	$19.95	$25.12	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $63.10	Professional		$31.62	$40.74	$63.10
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 $20.89 / $26.30 / $41.69	Professional	TC	$20.89	$26.30	$41.69
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 $30.20 / $38.90 / $67.61	Professional		$30.20	$38.90	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.49 / $22.39	Professional	26	$10.96	$13.49	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $45.71	Professional	TC	$19.05	$25.12	$45.71