Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $16.22 / $23.44	Facility	26	$12.02	$16.22	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $100.00	Professional		$33.11	$44.67	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.20 / $43.65	Professional	26	$12.02	$18.20	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $53.70	Professional	TC	$18.20	$25.70	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.95 / $12.30 / $26.92	Professional	26	$2.95	$12.30	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $102.33	Professional		$40.74	$61.66	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $28.18 / $45.71	Professional	26	$15.14	$28.18	$45.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.88 / $53.70	Professional	TC	$25.12	$33.88	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $102.33	Professional		$37.15	$58.88	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $19.95 / $31.62	Professional	26	$14.45	$19.95	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $64.57	Professional	TC	$21.88	$36.31	$64.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	26	$29.51	$29.51	$29.51
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 $38.02 / $58.88 / $102.33	Professional		$38.02	$58.88	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $18.20 / $30.90	Professional	26	$14.45	$18.20	$30.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.90 / $75.86	Professional	TC	$22.39	$38.90	$75.86