Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.08 / $13.09 / $23.07	Facility	26	$13.08	$13.09	$23.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $43.72 / $88.57	Professional		$40.89	$43.72	$88.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.09 / $14.42 / $31.60	Professional	26	$13.09	$14.42	$31.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.58 / $30.45 / $59.74	Professional	TC	$27.58	$30.45	$59.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $37.13 / $78.94	Professional		$37.13	$37.13	$78.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.54 / $14.42 / $25.81	Professional	26	$11.54	$14.42	$25.81
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.97 / $32.97 / $55.22	Professional	TC	$32.97	$32.97	$55.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $57.20 / $103.74	Professional		$45.11	$57.20	$103.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.42 / $37.00 / $50.96	Professional	26	$14.42	$37.00	$50.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $30.68 / $47.04	Professional	TC	$18.00	$30.68	$47.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $57.00 / $102.12	Professional		$42.78	$57.00	$102.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.59 / $20.74 / $38.34	Professional	26	$14.59	$20.74	$38.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.19 / $37.70 / $66.79	Professional	TC	$28.19	$37.70	$66.79
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.19 / $30.00 / $46.76	Facility	26	$23.19	$30.00	$46.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.74 / $178.74 / $178.74	Professional		$178.74	$178.74	$178.74
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $55.97 / $55.97 / $55.97	Professional	26	$55.97	$55.97	$55.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $56.74 / $94.16	Professional		$41.81	$56.74	$94.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $19.02 / $31.24	Professional	26	$14.23	$19.02	$31.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.70 / $36.22 / $61.59	Professional	TC	$26.70	$36.22	$61.59