Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.99 / $7.99 / $14.13	Facility	26	$7.99	$7.99	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $61.39 / $242.45	Professional		$30.97	$61.39	$242.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $9.44 / $83.85	Professional	26	$7.99	$9.44	$83.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.89 / $43.31 / $94.21	Professional	TC	$22.89	$43.31	$94.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $38.00 / $63.28	Professional		$35.35	$38.00	$63.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $9.46 / $15.75	Professional	26	$7.04	$9.46	$15.75
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $37.17 / $40.40	Professional	TC	$22.01	$37.17	$40.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $156.00 / $227.50	Professional		$35.35	$156.00	$227.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $21.00 / $28.75	Professional	26	$8.80	$21.00	$28.75
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.55 / $135.00 / $187.18	Professional	TC	$26.55	$135.00	$187.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $64.09 / $145.74	Professional		$39.39	$64.09	$145.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $12.87 / $23.41	Professional	26	$9.75	$12.87	$23.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.20 / $49.59 / $130.72	Professional	TC	$29.20	$49.59	$130.72
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $14.24 / $17.36 / $35.07	Facility	26	$14.24	$17.36	$35.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $44.19 / $131.56	Professional		$44.19	$44.19	$131.56
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $96.78 / $96.78 / $96.78	Professional	TC	$96.78	$96.78	$96.78
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 $37.52 / $53.40 / $114.16	Professional		$37.52	$53.40	$114.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.03 / $12.13 / $19.32	Professional	26	$8.03	$12.13	$19.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $39.81 / $97.45	Professional	TC	$27.55	$39.81	$97.45