Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $131.83	Professional		$52.48	$67.61	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $32.36 / $67.61	Professional	26	$28.18	$32.36	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $36.31 / $64.57	Professional	TC	$19.05	$36.31	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $107.15	Professional		$61.66	$75.86	$107.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $31.62 / $38.02	Professional	26	$26.92	$31.62	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $93.33	Professional		$63.10	$67.61	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $40.74 / $58.88	Professional	26	$30.20	$40.74	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $41.69	Professional	TC	$21.88	$33.11	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $141.25	Professional		$54.95	$69.18	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $42.66 / $64.57	Professional	26	$34.67	$42.66	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $26.92 / $72.44	Professional	TC	$18.20	$26.92	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $81.28	Professional		$72.44	$72.44	$81.28
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $48.98 / $53.70	Professional	26	$48.98	$48.98	$53.70
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $15.85 / $15.85	Professional	TC	$15.85	$15.85	$15.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $91.20	Professional		$46.77	$57.54	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $34.67 / $54.95	Professional	26	$26.92	$34.67	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $40.74	Professional	TC	$16.98	$23.44	$40.74