Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.14 / $9.14 / $13.08	Facility	26	$9.14	$9.14	$13.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $56.16 / $116.22	Professional		$52.15	$56.16	$116.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $9.13 / $22.68	Professional	26	$7.66	$9.13	$22.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.34 / $27.98 / $29.32	Professional	52	$24.34	$27.98	$29.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.57 / $47.17 / $82.18	Professional	TC	$43.57	$47.17	$82.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $73.29 / $89.66	Professional		$45.77	$73.29	$89.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $11.45 / $14.64	Professional	26	$7.54	$11.45	$14.64
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $75.00 / $75.00 / $75.00	Professional	TC	$75.00	$75.00	$75.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $61.80 / $106.18	Professional		$50.34	$61.80	$106.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $22.00 / $31.25	Professional	26	$8.18	$22.00	$31.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.00 / $44.46 / $76.38	Professional	TC	$38.00	$44.46	$76.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.06 / $10.06 / $10.06	Facility	26	$10.06	$10.06	$10.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $71.03 / $120.37	Professional		$55.10	$71.03	$120.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.00 / $11.57 / $20.35	Professional	26	$9.00	$11.57	$20.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.05 / $59.05 / $100.78	Professional	TC	$46.05	$59.05	$100.78
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $10.19 / $15.79 / $23.39	Facility	26	$10.19	$15.79	$23.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $58.61 / $139.90	Professional		$40.75	$58.61	$139.90
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $49.22 / $49.22 / $49.22	Professional	TC	$49.22	$49.22	$49.22
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 $45.67 / $55.66 / $89.80	Professional		$45.67	$55.66	$89.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $9.10 / $15.00	Professional	26	$7.44	$9.10	$15.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $45.45 / $71.70	Professional	TC	$38.40	$45.45	$71.70