Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $120.23	Professional		$48.98	$64.57	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $44.67 / $77.62	Professional	26	$34.67	$44.67	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $18.20 / $30.90	Professional	TC	$15.14	$18.20	$30.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $47.86 / $66.07	Professional	26	$33.88	$47.86	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $147.91	Professional		$66.07	$109.65	$147.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $61.66 / $104.71	Professional	26	$45.71	$61.66	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.12 / $67.61	Professional	TC	$18.62	$25.12	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $123.03	Professional		$64.57	$87.10	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $61.66 / $85.11	Professional	26	$46.77	$61.66	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $23.99 / $34.67	Professional	TC	$18.62	$23.99	$34.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	26	$85.11	$85.11	$85.11
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 $56.23 / $74.13 / $112.20	Professional		$56.23	$74.13	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $52.48 / $79.43	Professional	26	$39.81	$52.48	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $20.89 / $31.62	Professional	TC	$15.85	$20.89	$31.62