Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $10.00 / $15.14	Facility	26	$7.94	$10.00	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $61.66 / $251.19	Professional		$32.36	$61.66	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.22 / $60.26	Professional	26	$7.94	$11.22	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $95.50	Professional	TC	$22.91	$34.67	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $63.10	Professional		$23.99	$31.62	$63.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $14.79	Professional	26	$7.08	$9.33	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.39 / $38.02	Professional	TC	$19.05	$22.39	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $81.28 / $208.93	Professional		$38.02	$81.28	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $18.62 / $27.54	Professional	26	$9.55	$18.62	$27.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $60.26 / $181.97	Professional	TC	$28.84	$60.26	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $144.54	Professional		$38.02	$60.26	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $21.38	Professional	26	$8.91	$12.30	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $46.77 / $123.03	Professional	TC	$28.18	$46.77	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	26	$20.89	$20.89	$20.89
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 $37.15 / $56.23 / $120.23	Professional		$37.15	$56.23	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.22 / $19.50	Professional	26	$7.24	$11.22	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $43.65 / $100.00	Professional	TC	$27.54	$43.65	$100.00