Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $28.77	Facility	26	$10.00	$10.00	$28.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $37.11 / $63.34	Professional		$34.97	$37.11	$63.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.62 / $21.50	Professional	26	$10.00	$10.62	$21.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.56 / $26.88 / $41.34	Professional	TC	$22.56	$26.88	$41.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $32.38 / $32.38	Professional		$32.38	$32.38	$32.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $11.30 / $20.23	Professional	26	$9.03	$11.30	$20.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $47.33 / $85.18	Professional		$39.33	$47.33	$85.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.30 / $27.00 / $38.25	Professional	26	$11.30	$27.00	$38.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $28.02 / $47.04	Professional	TC	$18.00	$28.02	$47.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $48.56 / $89.07	Professional		$34.88	$48.56	$89.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $16.12 / $28.17	Professional	26	$11.28	$16.12	$28.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $32.36 / $60.90	Professional	TC	$23.77	$32.36	$60.90
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $18.00 / $21.00 / $36.75	Facility	26	$18.00	$21.00	$36.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $156.84 / $156.84	Professional		$156.84	$156.84	$156.84
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $113.31 / $113.31 / $113.31	Professional	TC	$113.31	$113.31	$113.31
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 $33.90 / $47.64 / $81.61	Professional		$33.90	$47.64	$81.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $16.97 / $34.92	Professional	26	$11.64	$16.97	$34.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $32.47 / $56.16	Professional	TC	$22.26	$32.47	$56.16