Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $169.82	Professional		$70.79	$85.11	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $44.67 / $104.71	Professional	26	$37.15	$44.67	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $42.66 / $75.86	Professional	TC	$23.99	$42.66	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $93.33	Professional		$83.18	$83.18	$93.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $42.66 / $50.12	Professional	26	$42.66	$42.66	$50.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $128.82	Professional		$79.43	$89.13	$128.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $57.54 / $85.11	Professional	26	$39.81	$57.54	$85.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.90 / $50.12	Professional	TC	$28.84	$38.90	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $173.78	Professional		$75.86	$91.20	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $58.88 / $85.11	Professional	26	$46.77	$58.88	$85.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.88 / $85.11	Professional	TC	$24.55	$33.88	$85.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $112.20	Professional		$100.00	$100.00	$112.20
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $67.61 / $75.86	Professional	26	$67.61	$67.61	$75.86
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	TC	$20.89	$20.89	$20.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
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 $58.88 / $74.13 / $117.49	Professional		$58.88	$74.13	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $46.77 / $75.86	Professional	26	$36.31	$46.77	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $50.12	Professional	TC	$21.88	$28.18	$50.12