Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $35.68 / $127.50	Professional		$27.44	$35.68	$127.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $13.76 / $65.58	Professional	26	$8.41	$13.76	$65.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.56 / $29.15 / $59.46	Professional	TC	$21.56	$29.15	$59.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $21.10 / $41.24	Professional		$19.18	$21.10	$41.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.17 / $11.10 / $14.88	Professional	26	$5.17	$11.10	$14.88
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $50.52 / $50.52 / $50.52	Professional	TC	$50.52	$50.52	$50.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $39.00 / $82.63	Professional		$38.36	$39.00	$82.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.33 / $60.00 / $80.33	Professional	26	$10.33	$60.00	$80.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.42 / $28.02 / $117.80	Professional	TC	$21.42	$28.02	$117.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $27.82 / $80.56	Professional		$19.68	$27.82	$80.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $5.77 / $39.14	Professional	26	$4.90	$5.77	$39.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.90 / $22.76 / $63.24	Professional	TC	$13.90	$22.76	$63.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $70.00 / $110.00	Facility		$33.78	$70.00	$110.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.42 / $45.00 / $81.00	Facility	26	$15.42	$45.00	$81.00
Medcost Facility/Professional Facility Modifier TC Low / Median / High Price $39.74 / $64.79 / $74.80	Facility	TC	$39.74	$64.79	$74.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $28.85 / $42.73	Professional		$10.52	$28.85	$42.73
United Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $33.47 / $130.66	Professional		$23.87	$33.47	$130.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.33 / $7.99 / $23.82	Professional	26	$6.33	$7.99	$23.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $27.25 / $85.80	Professional	TC	$17.48	$27.25	$85.80