Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $10.96 / $10.96	Facility	26	$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $138.04	Professional		$34.67	$53.70	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $51.29	Professional	26	$10.96	$17.78	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $63.10	Professional	TC	$20.89	$28.18	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $72.44	Professional		$35.48	$47.86	$72.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.47 / $23.44	Professional	26	$10.00	$10.47	$23.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $97.72	Professional		$43.65	$53.70	$97.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.20 / $33.88	Professional	26	$13.18	$18.20	$33.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $36.31 / $64.57	Professional	TC	$30.90	$36.31	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $74.13	Professional		$37.15	$47.86	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $16.98 / $27.54	Professional	26	$12.30	$16.98	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $31.62 / $48.98	Professional	TC	$22.91	$31.62	$48.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	26	$29.51	$29.51	$29.51
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 $32.36 / $45.71 / $81.28	Professional		$32.36	$45.71	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.49 / $26.92	Professional	26	$12.59	$15.49	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.90 / $54.95	Professional	TC	$19.95	$30.90	$54.95