Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $83.18 / $83.18	Facility	26	$12.30	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.02 / $331.13	Professional		$21.88	$38.02	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.00 / $54.95	Professional	26	$8.71	$10.00	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $20.42 / $218.78	Professional	TC	$12.02	$20.42	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $45.71	Professional		$18.62	$25.12	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.71 / $15.85	Professional	26	$7.08	$8.71	$15.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $14.79 / $14.79	Professional	TC	$14.79	$14.79	$14.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $87.10 / $204.17	Professional		$25.12	$87.10	$204.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.02 / $17.38	Professional	26	$9.55	$12.02	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $27.54 / $181.97	Professional	TC	$14.79	$27.54	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $151.36	Professional		$22.39	$38.02	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $20.89	Professional	26	$8.91	$12.30	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $22.91 / $141.25	Professional	TC	$12.59	$22.91	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
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 $21.88 / $44.67 / $154.88	Professional		$21.88	$44.67	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.75 / $20.42	Professional	26	$9.12	$11.75	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $25.12 / $138.04	Professional	TC	$12.30	$25.12	$138.04