Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $158.49	Professional		$63.10	$74.13	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $41.69 / $102.33	Professional	26	$33.11	$41.69	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $36.31 / $63.10	Professional	TC	$20.89	$36.31	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $117.49	Professional		$61.66	$63.10	$117.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $35.48 / $44.67	Professional	26	$31.62	$35.48	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $114.82	Professional		$67.61	$77.62	$114.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $50.12 / $74.13	Professional	26	$34.67	$50.12	$74.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.11 / $42.66	Professional	TC	$25.12	$33.11	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $151.36	Professional		$67.61	$81.28	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $52.48 / $77.62	Professional	26	$40.74	$52.48	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $72.44	Professional	TC	$20.89	$28.84	$72.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Professional		$93.33	$93.33	$95.50
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $66.07 / $66.07	Professional	26	$66.07	$66.07	$66.07
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $17.78 / $17.78	Professional	TC	$17.78	$17.78	$17.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
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 $52.48 / $64.57 / $102.33	Professional		$52.48	$64.57	$102.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.69 / $64.57	Professional	26	$31.62	$41.69	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $23.99 / $41.69	Professional	TC	$18.62	$23.99	$41.69