Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.40 / $7.40 / $7.40	Facility	26	$7.40	$7.40	$7.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $27.45 / $42.24	Professional		$23.67	$27.45	$42.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $7.88 / $15.09	Professional	26	$7.33	$7.88	$15.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $19.86 / $32.82	Professional	TC	$16.67	$19.86	$32.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $8.15 / $10.11	Professional	26	$8.15	$8.15	$10.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.14 / $30.14 / $30.14	Professional	TC	$30.14	$30.14	$30.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $32.65 / $44.63	Professional		$29.68	$32.65	$44.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $12.00 / $16.09	Professional	26	$8.15	$12.00	$16.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.00 / $22.39 / $32.29	Professional	TC	$19.00	$22.39	$32.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $34.78 / $64.90	Professional		$24.68	$34.78	$64.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $11.41 / $18.73	Professional	26	$7.93	$11.41	$18.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $23.59 / $46.17	Professional	TC	$16.75	$23.59	$46.17
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.15 / $15.00 / $24.43	Facility	26	$12.15	$15.00	$24.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $115.99 / $115.99	Professional		$115.99	$115.99	$115.99
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $32.24 / $32.24 / $32.24	Professional	26	$32.24	$32.24	$32.24
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $173.99 / $173.99 / $173.99	Professional	50	$173.99	$173.99	$173.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $35.34 / $59.83	Professional		$24.23	$35.34	$59.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $10.40 / $23.22	Professional	26	$7.79	$10.40	$23.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $23.69 / $42.57	Professional	TC	$16.30	$23.69	$42.57