Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $22.91 / $35.48	Facility	26	$22.91	$22.91	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $85.11	Professional		$30.90	$38.02	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $26.92 / $61.66	Professional	26	$20.89	$26.92	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.02 / $19.05	Professional	TC	$10.00	$12.02	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $63.10	Professional		$27.54	$37.15	$63.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $22.39 / $40.74	Professional	26	$16.22	$22.39	$40.74
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $8.91 / $8.91 / $8.91	Professional	52	$8.91	$8.91	$8.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $77.62 / $120.23	Professional		$37.15	$77.62	$120.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $28.18 / $60.26	Professional	26	$22.91	$28.18	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $23.99 / $64.57	Professional	TC	$13.18	$23.99	$64.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.37 / $25.12 / $35.48	Facility	26	$5.37	$25.12	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $93.33	Professional		$34.67	$46.77	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $31.62 / $60.26	Professional	26	$22.91	$31.62	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $14.79 / $31.62	Professional	TC	$10.96	$14.79	$31.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
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 $28.18 / $34.67 / $57.54	Professional		$28.18	$34.67	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.44 / $38.90	Professional	26	$19.05	$23.44	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $10.96 / $18.20	Professional	TC	$8.91	$10.96	$18.20