Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.33 / $12.34 / $17.66	Facility	26	$12.33	$12.34	$17.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $54.83 / $107.61	Professional		$50.51	$54.83	$107.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $12.36 / $34.45	Professional	26	$11.06	$12.36	$34.45
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.43 / $26.12 / $27.42	Professional	52	$23.43	$26.12	$27.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.22 / $41.70 / $77.70	Professional	TC	$39.22	$41.70	$77.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $72.38 / $91.00	Professional		$46.27	$72.38	$91.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.04 / $15.46 / $19.87	Professional	26	$11.04	$15.46	$19.87
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $71.26 / $71.26 / $71.26	Professional	TC	$71.26	$71.26	$71.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.62 / $90.28	Professional		$50.00	$55.62	$90.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.04 / $24.00 / $35.40	Professional	26	$11.04	$24.00	$35.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.00 / $39.81 / $56.30	Professional	TC	$26.00	$39.81	$56.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $69.26 / $117.69	Professional		$54.05	$69.26	$117.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $15.98 / $27.51	Professional	26	$12.50	$15.98	$27.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.92 / $53.09 / $90.91	Professional	TC	$40.92	$53.09	$90.91
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $13.84 / $21.33 / $31.54	Facility	26	$13.84	$21.33	$31.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $59.15 / $132.09	Professional		$59.15	$59.15	$132.09
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $44.98 / $44.98 / $44.98	Professional	TC	$44.98	$44.98	$44.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $37.07 / $57.58	Professional		$28.00	$37.07	$57.58
United Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $54.50 / $91.34	Professional		$43.60	$54.50	$91.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.21 / $12.62 / $20.93	Professional	26	$10.21	$12.62	$20.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.56 / $40.95 / $64.80	Professional	TC	$33.56	$40.95	$64.80