Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.32 / $18.32 / $42.84	Facility	26	$18.32	$18.32	$42.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $73.06 / $289.88	Professional		$50.01	$73.06	$289.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.87 / $27.07 / $96.76	Professional	26	$16.87	$27.07	$96.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.40 / $45.64 / $87.01	Professional	TC	$32.40	$45.64	$87.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $48.71	Professional		$48.71	$48.71	$48.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.63 / $29.36 / $29.36	Professional	26	$17.63	$29.36	$29.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $118.00 / $179.78	Professional		$45.31	$118.00	$179.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $41.00 / $66.59	Professional	26	$16.39	$41.00	$66.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.91 / $77.00 / $119.04	Professional	TC	$28.91	$77.00	$119.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $88.47 / $126.56	Professional		$56.03	$88.47	$126.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.53 / $24.43 / $40.98	Professional	26	$19.53	$24.43	$40.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.28 / $59.80 / $88.57	Professional	TC	$36.28	$59.80	$88.57
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $21.15 / $34.00 / $72.95	Facility	26	$21.15	$34.00	$72.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $184.04 / $184.04 / $184.04	Professional		$184.04	$184.04	$184.04
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $119.23 / $119.23 / $119.23	Professional	TC	$119.23	$119.23	$119.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $35.94 / $54.24	Professional		$25.98	$35.94	$54.24
United Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $72.64 / $126.86	Professional		$47.42	$72.64	$126.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $21.59 / $38.31	Professional	26	$16.32	$21.59	$38.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.93 / $48.46 / $92.56	Professional	TC	$30.93	$48.46	$92.56