Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.13 / $21.13 / $49.40	Facility	26	$21.13	$21.13	$49.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $55.95 / $92.50	Professional		$38.25	$55.95	$92.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $21.23 / $33.57	Professional	26	$17.14	$21.23	$33.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.01 / $31.87 / $48.90	Professional	TC	$17.01	$31.87	$48.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $53.93 / $90.31	Professional		$45.84	$53.93	$90.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $53.15 / $72.38	Professional		$50.00	$53.15	$72.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $29.00 / $41.54	Professional	26	$18.89	$29.00	$41.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $26.17 / $42.76	Professional	TC	$21.00	$26.17	$42.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $55.77 / $127.35	Professional		$41.50	$55.77	$127.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $29.13 / $48.62	Professional	26	$22.52	$29.13	$48.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $27.18 / $80.09	Professional	TC	$16.82	$27.18	$80.09
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $24.37 / $27.83 / $39.29	Facility	26	$24.37	$27.83	$39.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $36.42 / $36.42	Professional		$36.42	$36.42	$36.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $37.00 / $57.58	Professional		$28.75	$37.00	$57.58
United Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $45.82 / $75.81	Professional		$35.11	$45.82	$75.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $21.65 / $37.10	Professional	26	$16.92	$21.65	$37.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $24.05 / $47.09	Professional	TC	$16.23	$24.05	$47.09