Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.89 / $22.89 / $32.76	Facility	26	$22.89	$22.89	$32.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $34.36 / $67.43	Professional		$31.56	$34.36	$67.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.57 / $22.89 / $46.64	Professional	26	$20.57	$22.89	$46.64
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.00 / $16.28 / $17.18	Professional	52	$15.00	$16.28	$17.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.21 / $11.47 / $17.89	Professional	TC	$10.21	$11.47	$17.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $56.71 / $64.59	Professional		$28.89	$56.71	$64.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $22.02 / $36.65	Professional	26	$18.85	$22.02	$36.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.03 / $20.03 / $20.03	Professional	TC	$20.03	$20.03	$20.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $95.00 / $134.96	Professional		$31.84	$95.00	$134.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.48 / $47.00 / $62.47	Professional	26	$20.48	$47.00	$62.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.19 / $48.00 / $70.98	Professional	TC	$11.19	$48.00	$70.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $44.51 / $75.08	Professional		$34.56	$44.51	$75.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.19 / $29.95 / $50.06	Professional	26	$23.19	$29.95	$50.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.91 / $14.34 / $24.58	Professional	TC	$10.91	$14.34	$24.58
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $25.25 / $39.54 / $58.54	Facility	26	$25.25	$39.54	$58.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $39.10 / $80.67	Professional		$29.60	$39.10	$80.67
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $12.46 / $12.46 / $12.46	Professional	TC	$12.46	$12.46	$12.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $37.00 / $57.46	Professional		$27.91	$37.00	$57.46
United Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $33.89 / $58.17	Professional		$28.12	$33.89	$58.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.14 / $23.22 / $38.68	Professional	26	$19.14	$23.22	$38.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.78 / $10.50 / $16.57	Professional	TC	$8.78	$10.50	$16.57