Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.87 / $83.00 / $83.00	Facility	26	$13.87	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $79.14 / $275.00	Professional		$22.26	$79.14	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $10.39 / $83.00	Professional	26	$8.83	$10.39	$83.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.09 / $66.48 / $220.00	Professional	TC	$13.09	$66.48	$220.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $24.98 / $41.60	Professional		$19.11	$24.98	$41.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $9.46 / $15.75	Professional	26	$7.04	$9.46	$15.75
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.44 / $14.44 / $15.52	Professional	TC	$14.44	$14.44	$15.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $152.00 / $208.62	Professional		$23.24	$152.00	$208.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $12.00 / $19.07	Professional	26	$8.80	$12.00	$19.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.44 / $139.50 / $186.09	Professional	TC	$14.44	$139.50	$186.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $40.79 / $154.77	Professional		$23.04	$40.79	$154.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $12.87 / $22.29	Professional	26	$9.57	$12.87	$22.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.19 / $24.94 / $143.88	Professional	TC	$13.19	$24.94	$143.88
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.72 / $17.09 / $29.03	Facility	26	$14.72	$17.09	$29.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $81.92	Professional		$81.92	$81.92	$81.92
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $47.14 / $47.14 / $47.14	Professional	TC	$47.14	$47.14	$47.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.60 / $51.41	Professional		$25.48	$34.60	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $43.49 / $176.97	Professional		$21.74	$43.49	$176.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $12.13 / $20.49	Professional	26	$9.10	$12.13	$20.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.03 / $20.22 / $139.74	Professional	TC	$12.03	$20.22	$139.74