Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.20 / $3.20 / $7.46	Facility	26	$3.20	$3.20	$7.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $39.04 / $195.00	Professional		$22.98	$39.04	$195.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.91 / $4.53 / $20.21	Professional	26	$2.91	$4.53	$20.21
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.33 / $11.64 / $18.60	Professional	52	$11.33	$11.64	$18.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $31.94 / $123.04	Professional	TC	$20.07	$31.94	$123.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $36.29 / $36.50	Professional		$21.80	$36.29	$36.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.06 / $3.99 / $5.09	Professional	26	$3.06	$3.99	$5.09
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.39 / $31.18 / $31.18	Professional	TC	$24.39	$31.18	$31.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $132.00 / $218.06	Professional		$20.28	$132.00	$218.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $2.85 / $5.00 / $32.64	Professional	26	$2.85	$5.00	$32.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.42 / $127.00 / $177.24	Professional	TC	$17.42	$127.00	$177.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $45.92 / $140.00	Professional		$25.91	$45.92	$140.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.50 / $4.55 / $7.34	Professional	26	$3.50	$4.55	$7.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.52 / $40.81 / $125.32	Professional	TC	$22.52	$40.81	$125.32
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $4.05 / $14.00 / $66.77	Facility	26	$4.05	$14.00	$66.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Professional		$84.57	$84.57	$84.57
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $11.26 / $11.26	Professional	26	$11.26	$11.26	$11.26
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 $21.98 / $33.76 / $102.56	Professional		$21.98	$33.76	$102.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.95 / $3.82 / $6.97	Professional	26	$2.95	$3.82	$6.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $29.96 / $90.23	Professional	TC	$19.14	$29.96	$90.23