Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.06 / $11.06 / $11.06	Facility	26	$11.06	$11.06	$11.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $40.10 / $112.02	Professional		$34.85	$40.10	$112.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $13.51 / $42.17	Professional	26	$11.06	$13.51	$42.17
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.41 / $18.36 / $21.07	Professional	52	$14.41	$18.36	$21.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $25.65 / $37.69	Professional	TC	$22.26	$25.65	$37.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $43.86 / $73.03	Professional		$43.86	$43.86	$73.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.90 / $10.11 / $21.82	Professional	26	$9.90	$10.11	$21.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $54.00 / $100.00	Professional		$40.79	$54.00	$100.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $18.00 / $35.00	Professional	26	$12.19	$18.00	$35.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.62 / $36.00 / $65.00	Professional	TC	$28.62	$36.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $50.41 / $92.60	Professional		$36.94	$50.41	$92.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.72 / $16.92 / $30.23	Professional	26	$12.72	$16.92	$30.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.15 / $32.67 / $62.37	Professional	TC	$23.15	$32.67	$62.37
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.88 / $26.77 / $49.25	Facility	26	$19.88	$26.77	$49.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.52 / $161.52 / $161.52	Professional		$161.52	$161.52	$161.52
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $48.21 / $48.21 / $48.21	Professional	26	$48.21	$48.21	$48.21
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 $33.61 / $49.39 / $83.98	Professional		$33.61	$49.39	$83.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.64 / $16.18 / $39.13	Professional	26	$12.64	$16.18	$39.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.81 / $31.41 / $58.90	Professional	TC	$20.81	$31.41	$58.90