Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.30 / $17.30 / $17.30	Facility	26	$17.30	$17.30	$17.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $68.06 / $104.68	Professional		$60.62	$68.06	$104.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.25 / $17.82 / $40.04	Professional	26	$17.25	$17.82	$40.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.32 / $50.22 / $80.01	Professional	TC	$43.32	$50.22	$80.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $68.04 / $68.04	Professional		$68.04	$68.04	$68.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.64 / $34.64 / $34.64	Professional	26	$19.64	$34.64	$34.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $161.00 / $214.00	Professional		$70.08	$161.00	$214.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.35 / $23.50 / $31.87	Professional	26	$19.35	$23.50	$31.87
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.70 / $138.00 / $183.43	Professional	TC	$48.70	$138.00	$183.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $19.67 / $19.88 / $54.48	Facility	26	$19.67	$19.88	$54.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $70.28 / $107.55	Professional		$50.91	$70.28	$107.55
United Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $104.52 / $183.49	Professional		$70.50	$104.52	$183.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $27.21 / $39.20	Professional	26	$18.78	$27.21	$39.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.54 / $74.70 / $146.59	Professional	TC	$50.54	$74.70	$146.59