Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $64.57	Professional		$25.12	$30.90	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.91 / $22.39	Professional	26	$7.94	$8.91	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $20.89 / $39.81	Professional	TC	$15.85	$20.89	$39.81
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $7.76 / $9.77	Professional	26	$7.41	$7.76	$9.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $16.22 / $16.22	Professional	TC	$16.22	$16.22	$16.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $63.10	Professional		$30.90	$40.74	$63.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $18.62 / $30.90	Professional	26	$9.77	$18.62	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.88 / $34.67	Professional	TC	$16.98	$21.88	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $58.88	Professional		$28.84	$37.15	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.59 / $19.50	Professional	26	$8.91	$12.59	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $38.02	Professional	TC	$19.05	$25.12	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $19.50 / $19.50	Professional	26	$19.50	$19.50	$19.50
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 $25.70 / $35.48 / $58.88	Professional		$25.70	$35.48	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.96 / $19.50	Professional	26	$8.71	$10.96	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $39.81	Professional	TC	$16.98	$22.91	$39.81