Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $9.12 / $14.45	Facility	26	$9.12	$9.12	$14.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $128.82	Professional		$50.12	$60.26	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.55 / $26.30	Professional	26	$7.94	$9.55	$26.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.13 / $8.32 / $39.81	Professional	52	$8.13	$8.32	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $52.48 / $95.50	Professional	TC	$42.66	$52.48	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $81.28	Professional		$45.71	$53.70	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.00 / $16.22	Professional	26	$8.32	$10.00	$16.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $75.86 / $75.86	Professional	TC	$75.86	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $95.50	Professional		$58.88	$66.07	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $17.78 / $28.18	Professional	26	$9.55	$17.78	$28.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $53.70 / $70.79	Professional	TC	$38.02	$53.70	$70.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $151.36	Professional		$54.95	$74.13	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $23.99	Professional	26	$8.91	$12.02	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $61.66 / $128.82	Professional	TC	$45.71	$61.66	$128.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
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 $45.71 / $57.54 / $91.20	Professional		$45.71	$57.54	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.12 / $14.79	Professional	26	$7.41	$9.12	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $47.86 / $75.86	Professional	TC	$38.02	$47.86	$75.86