Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.82 / $12.82 / $22.60	Facility	26	$12.82	$12.82	$22.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $44.10 / $87.24	Professional		$33.01	$44.10	$87.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.82 / $13.58 / $30.96	Professional	26	$12.82	$13.58	$30.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.87 / $26.30 / $68.17	Professional	TC	$19.87	$26.30	$68.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.45 / $14.13 / $25.29	Professional	26	$11.45	$14.13	$25.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $69.00 / $112.50	Professional		$37.43	$69.00	$112.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $35.50 / $49.41	Professional	26	$14.13	$35.50	$49.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.30 / $33.50 / $67.50	Professional	TC	$23.30	$33.50	$67.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $61.97 / $102.60	Professional		$39.61	$61.97	$102.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $20.55 / $35.33	Professional	26	$14.75	$20.55	$35.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.15 / $41.90 / $66.95	Professional	TC	$23.15	$41.90	$66.95
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $23.19 / $28.00 / $46.76	Facility	26	$23.19	$28.00	$46.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.65 / $145.65 / $145.65	Professional		$145.65	$145.65	$145.65
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $90.86 / $90.86 / $90.86	Professional	TC	$90.86	$90.86	$90.86
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 $37.86 / $58.42 / $100.04	Professional		$37.86	$58.42	$100.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.54 / $19.02 / $30.93	Professional	26	$14.54	$19.02	$30.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.16 / $36.39 / $68.67	Professional	TC	$22.16	$36.39	$68.67