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 / $12.04	Facility	26	$7.40	$7.40	$12.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $31.45 / $54.59	Professional		$28.08	$31.45	$54.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.99 / $7.88 / $13.32	Professional	26	$6.99	$7.88	$13.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $24.05 / $30.39	Professional	TC	$19.48	$24.05	$30.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $8.76 / $14.59	Professional	26	$6.61	$8.76	$14.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $39.60 / $73.75	Professional		$34.70	$39.60	$73.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $20.00 / $27.17	Professional	26	$8.15	$20.00	$27.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $26.55 / $40.76	Professional	TC	$16.00	$26.55	$40.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $39.94 / $76.76	Professional		$28.24	$39.94	$76.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $12.00 / $20.28	Professional	26	$8.34	$12.00	$20.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.79 / $29.20 / $56.48	Professional	TC	$19.79	$29.20	$56.48
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.81 / $16.00 / $26.16	Facility	26	$12.81	$16.00	$26.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $137.26 / $137.26	Professional		$137.26	$137.26	$137.26
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $105.03 / $105.03 / $105.03	Professional	TC	$105.03	$105.03	$105.03
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 $27.05 / $42.38 / $70.78	Professional		$27.05	$42.38	$70.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $10.94 / $17.82	Professional	26	$8.27	$10.94	$17.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.38 / $27.95 / $52.09	Professional	TC	$19.38	$27.95	$52.09