Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.23 / $8.23 / $8.23	Facility	26	$8.23	$8.23	$8.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.45 / $55.41	Professional		$22.91	$27.45	$55.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $8.52 / $15.06	Professional	26	$7.84	$8.52	$15.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.94 / $18.98 / $40.20	Professional	TC	$15.94	$18.98	$40.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $7.36 / $9.75	Professional	26	$7.36	$7.36	$9.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $41.00 / $70.01	Professional		$28.82	$41.00	$70.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $24.00 / $31.47	Professional	26	$9.07	$24.00	$31.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.00 / $20.75 / $39.31	Professional	TC	$17.00	$20.75	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $39.58 / $65.79	Professional		$28.69	$39.58	$65.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.99 / $22.56	Professional	26	$8.91	$12.99	$22.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $27.51 / $43.22	Professional	TC	$19.73	$27.51	$43.22
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $13.22 / $16.00 / $28.64	Facility	26	$13.22	$16.00	$28.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.93 / $114.93 / $114.93	Professional		$114.93	$114.93	$114.93
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $35.88 / $35.88 / $35.88	Professional	26	$35.88	$35.88	$35.88
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 $26.19 / $36.54 / $59.32	Professional		$26.19	$36.54	$59.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $12.04 / $19.41	Professional	26	$8.61	$12.04	$19.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $24.01 / $39.85	Professional	TC	$17.61	$24.01	$39.85