Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.84 / $10.85 / $15.53	Facility	26	$10.84	$10.85	$15.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $39.35 / $167.28	Professional		$29.74	$39.35	$167.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $15.02 / $28.24	Professional	26	$10.40	$15.02	$28.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $21.58 / $37.39	Professional	TC	$19.23	$21.58	$37.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $41.69 / $49.05	Professional		$24.94	$41.69	$49.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $17.38 / $17.38	Professional	26	$17.38	$17.38	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $31.67 / $31.67	Professional	TC	$26.92	$31.67	$31.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $43.00 / $61.09	Professional		$27.40	$43.00	$61.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $16.00 / $23.16	Professional	26	$9.71	$16.00	$23.16
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.69 / $27.00 / $38.36	Professional	TC	$17.69	$27.00	$38.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $41.80 / $65.42	Professional		$33.47	$41.80	$65.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $16.48 / $27.64	Professional	26	$12.38	$16.48	$27.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.36 / $26.23 / $40.72	Professional	TC	$20.36	$26.23	$40.72
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $17.09 / $17.20 / $35.79	Facility	26	$17.09	$17.20	$35.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $109.19 / $109.19	Professional		$109.19	$109.19	$109.19
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $70.77 / $70.77 / $70.77	Professional	TC	$70.77	$70.77	$70.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $35.14 / $51.41	Professional		$25.48	$35.14	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $40.65 / $60.01	Professional		$32.01	$40.65	$60.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.29 / $15.56 / $25.65	Professional	26	$13.29	$15.56	$25.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $26.18 / $38.29	Professional	TC	$19.44	$26.18	$38.29