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 $40.52 / $43.56 / $75.79	Professional		$40.52	$43.56	$75.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.93 / $12.31 / $18.12	Professional	26	$10.93	$12.31	$18.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.95 / $31.11 / $48.42	Professional	TC	$28.95	$31.11	$48.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $72.56 / $72.97	Professional		$37.21	$72.56	$72.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.87 / $14.38 / $20.53	Professional	26	$11.87	$14.38	$20.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $52.81 / $52.81 / $52.81	Professional	TC	$52.81	$52.81	$52.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $44.37 / $71.90	Professional		$40.00	$44.37	$71.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.04 / $24.00 / $34.86	Professional	26	$11.04	$24.00	$34.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $29.50 / $40.34	Professional	TC	$16.00	$29.50	$40.34
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 $43.08 / $55.36 / $93.35	Professional		$43.08	$55.36	$93.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $15.98 / $26.98	Professional	26	$12.50	$15.98	$26.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.31 / $39.28 / $66.91	Professional	TC	$30.31	$39.28	$66.91
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $13.84 / $19.01 / $31.54	Facility	26	$13.84	$19.01	$31.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $46.69 / $107.26	Professional		$42.02	$46.69	$107.26
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $32.51 / $32.51 / $32.51	Professional	TC	$32.51	$32.51	$32.51
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 $36.19 / $43.12 / $72.54	Professional		$36.19	$43.12	$72.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $12.48 / $20.16	Professional	26	$10.10	$12.48	$20.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.41 / $30.81 / $54.32	Professional	TC	$25.41	$30.81	$54.32