Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.01 / $24.81 / $35.22	Facility	26	$20.01	$24.81	$35.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $82.34 / $460.00	Professional		$40.31	$82.34	$460.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $22.35 / $98.32	Professional	26	$16.92	$22.35	$98.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $34.92 / $80.38	Professional	TC	$19.98	$34.92	$80.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $65.09 / $82.10	Professional		$45.61	$65.09	$82.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.67 / $39.42	Professional	26	$18.20	$23.67	$39.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.56 / $33.03 / $33.03	Professional	TC	$21.56	$33.03	$33.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $76.65 / $131.05	Professional		$45.61	$76.65	$131.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.02 / $26.62 / $42.69	Professional	26	$22.02	$26.62	$42.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.59 / $49.00 / $86.00	Professional	TC	$23.59	$49.00	$86.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $81.40 / $128.24	Professional		$49.27	$81.40	$128.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $26.82 / $44.47	Professional	26	$18.20	$26.82	$44.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.08 / $49.41 / $93.33	Professional	TC	$24.08	$49.41	$93.33
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $27.90 / $33.00 / $57.51	Facility	26	$27.90	$33.00	$57.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $39.29 / $172.00	Professional		$39.29	$39.29	$172.00
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $86.15 / $86.15 / $86.15	Professional	TC	$86.15	$86.15	$86.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $51.99 / $91.36	Professional		$29.53	$51.99	$91.36
United Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $74.75 / $134.44	Professional		$43.01	$74.75	$134.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.17 / $25.26 / $44.70	Professional	26	$18.17	$25.26	$44.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.03 / $37.35 / $100.16	Professional	TC	$21.03	$37.35	$100.16