Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.29 / $12.95 / $22.46	Facility	26	$11.29	$12.95	$22.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $62.75 / $144.27	Professional		$35.39	$62.75	$144.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $12.95 / $72.00	Professional	26	$7.33	$12.95	$72.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.07 / $38.59 / $103.97	Professional	TC	$22.07	$38.59	$103.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $14.04 / $15.09	Professional	26	$11.19	$14.04	$15.09
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.69 / $34.69 / $34.69	Professional	TC	$34.69	$34.69	$34.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $69.00 / $106.80	Professional		$38.82	$69.00	$106.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.04 / $31.25 / $51.80	Professional	26	$14.04	$31.25	$51.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.78 / $29.82 / $61.68	Professional	TC	$24.78	$29.82	$61.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $66.83 / $112.60	Professional		$46.36	$66.83	$112.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $14.00 / $29.70	Professional	26	$8.93	$14.00	$29.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.58 / $52.19 / $89.48	Professional	TC	$30.58	$52.19	$89.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.00 / $14.00 / $40.22	Facility	26	$14.00	$14.00	$40.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $44.75 / $153.35	Professional		$44.75	$44.75	$153.35
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $55.38 / $55.38 / $55.38	Professional	26	$55.38	$55.38	$55.38
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 $40.00 / $62.93 / $119.71	Professional		$40.00	$62.93	$119.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $15.40 / $28.30	Professional	26	$7.92	$15.40	$28.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.57 / $42.03 / $104.06	Professional	TC	$24.57	$42.03	$104.06