Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $7.08	Facility	26	$7.08	$7.08	$7.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $64.57	Professional		$22.91	$30.90	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $29.51	Professional	26	$7.08	$10.00	$29.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $37.15 / $169.82	Professional	50	$36.31	$37.15	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $46.77	Professional	TC	$15.85	$22.91	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $6.92 / $7.94	Professional	26	$6.76	$6.92	$7.94
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	50	$38.90	$38.90	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $45.71	Professional		$30.90	$33.11	$45.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.48 / $16.60	Professional	26	$8.71	$11.48	$16.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.91 / $32.36	Professional	TC	$19.05	$22.91	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $53.70	Professional		$25.12	$34.67	$53.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.72 / $16.60	Professional	26	$7.94	$10.72	$16.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.44 / $38.90	Professional	TC	$16.60	$23.44	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $15.85 / $15.85	Professional	26	$15.85	$15.85	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $58.88	Professional		$23.99	$32.36	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $16.60	Professional	26	$7.94	$9.77	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $40.74	Professional	TC	$16.22	$22.91	$40.74